社区慢性病管理综合干预对体质量及血压效果的探讨

目的探讨社区慢性病管理综合干预对患者体质量及血压的影响效果。方法将广州市番禺区东环街社区卫生服务中心服务范围内的村居作为本次研究的试验小区,共选1300名村居民,对其开展健康生活方式宣传教育及指导,之后对其进行为期1年的随访管理,观察所选人群在指导前后的体质量及高血压控制率情况。结果在综合干预后,居民的体质量与血压均有明显改善,干预前体质量为(63.2±24.5)kg,收缩压为(133.4±11.2)mmHg,舒张压(88.3±78.6)mmHg;干预后体质量为(52.1±11.6)kg;收缩压为(113.5±9.8)mmHg,舒张压(72.5±67.8)mmHg,相比差异具有统计学意义(P<0.05)。结论在社区进行综合干预有助于居民健康知识的掌握,改善生活方式,对慢性疾病的防治效果良好。

Objective To explore the community comprehensive intervention on patients with chronic disease management quality and the effect of blood pressure. Methods The Murai within the East Central Street Community Health Center Services Panyu District of Guangzhou City as a test plot of this study, a total of 1,300 residents of the village election, to carry out their healthy lifestyle education and guidance, after its period of 1 year follow-up management, observing the crowd before and after the selected guiding body mass and hypertension control rate case. Results After comprehensive intervention, the residents of body weight and blood pressure were significantly improved, the quality of the intervention precursor （63.2±24.5） kg, SBP （133.4±11.2） mmHg, DBP （88.3±78.6） mmHg;body after intervention quality （52.1±11.6） kg;SBP （113.5±9.8） mmHg, DBP （72.5±67.8） mmHg, compared to significantly（P〈0.05）. Conclusion It is concluded that community intervention measures car effectively control blood pressure and hypertension of the population.It is great important to prevent cerebrovascular diseases in community.