基于PDCA模式对功能社区正常高值血压人群实施健康教育的效果

Effect of health education in occupational population with high-blood pressure based on PDCA model

目的对功能社区正常高值血压人群实施基于PDCA模式构建的健康教育计划,探讨其在预防高血压健康教育中的效果。方法采用整群随机对照设计,以长沙市区内部分功能社区5585例正常高值血压者作为调查对象,采用基于PDCA模式构建的健康教育计划对干预组进行为期2年的生活方式干预,同期对照组进行常规电话随访。结果干预组在2年后收缩压和舒张压均较对照组有不同程度下降;同时2年后干预组有20.28%转变为正常血压,明显高于对照组的15.59%;且干预组较对照组高血压转化率降低了近10%。干预组2年后除空腹血糖外,其余各指标均较基线时有明显改善(P<0.05),而且其多数指标也较对照组有一定程度改善(P<0.05)。结论基于PDCA模式的对正常高值血压职业人群实施有序、有质健康教育,是预防职业人群高血压及其并发症的有效措施,值得推广应用。

Objective To evaluate the effect of health education based on PDCA model on prevention of hyper-tension among occupational population with high-blood pressure. Methods Totally 5585 staffs with high-blood pressure were randomly assigned to the experimental group receiving 2-year PDCA-based lifestyle intervention,and the control group receiving routine telephone follow-up services. Results After 2-year intervention,the systolic blood pressure and diastolic blood pressure in the experimental group significantly decreased; more people＇s blood pressure changed to the normal in the experimental group than the control group （20.28% vs 15.59%,P〈0.05）; the rate from high-blood pressure to hypertension decreased by 10%. Except fasting blood-glucose,most of the biochemical indexes in the experimental group were significantly better than baseline （P〈0.05） and those of the control group （P〈0.05）. Conclusion Systemic health education based on PDCA model for occupational population with high-blood pressure is effective for blood pressure control and prevention of complications.