高血压患者社区综合干预效果评价

Evaluation on Effect of Comprehensive Community-based Intervention of Hypertension

目的评价以社区为基础的高血压综合防治措施的效果。方法随机将银川市的4个社区中的2个社区作为干预组,将另外2个社区作为对照组。干预组采用社区综合干预措施(健康知识讲座、饮食及生活行为方式干预、运动干预),对照组仅进行常规的健康教育和高血压的防治宣教,1年后比较其效果。结果干预后干预组平均收缩压(142.221±14.03)mmHg和平均舒张压(85.283±13.99)mmHg均低于对照组平均收缩压(149.519±17.72)mmHg和平均舒张压(88.731±11.57)mmHg,差异有统计学意义(P<0.05)。干预后干预组高血压控制率(78.3%)较对照组(36.4%)有明显提高(P<0.05)。干预后干预组较对照组的高血压知识知晓情况明显提高(P<0.05)。结论社区综合防治可以有效控制人群血压上升速度,提高高血压的知晓率和控制率,降低患者的血压水平,减少并发症的发生。

Objective To carry out and evaluate the effect of the comprehensive community-based intervention on hypertension.Methods The communities of Yinchuan were randomly selected as intervention group and control group.Community-based comprehensive intervention was carried out in the intervention group while routine treatment of hypertension was carried out in the control group.The effect of the interventions were compared after 1 year.Results One year after the community-based intervention,the average SBP（142.221±14.03）mmHg and DBP（85.283±13.99）mmHg in intervention group were significantly lower than those in control group.The percentages of awareness and control of hypertension in intervention group were significantly higher than those in control group.Conclusion Community-based comprehensive intervention is an effective way to increase the percentages of awareness and control of hypertension,and to decrease the occurrence of complications at population level.