南京市高淳区高血压社区综合干预效果评价

Efficacy analysis of community-based comprehensive interventions on hypertension in Gaochun district of Nanjing

目的评价南京市高血压社区综合干预效果。方法采用自编《高淳县社区慢性病管理效果评估调查问卷》,于2011年调查高血压患者3 990人,并分组进行综合干预管理,于基线调查后半年、1年进行随访。结果随访率分别为99.0%、98.9%。GEE分析结果表明,与基线调查相比,社区综合干预半年时,高血压患者收缩压、舒张压的平均下降值差异无统计学意义,血压控制率是基线时的1.138倍,差异有统计学意义(P<0.05);综合干预1年,收缩压平均下降4.531mmHg,舒张压平均下降1.525mmHg,控制率是基线时的2.236倍,差异有统计学意义(P<0.05);心血管事件发生率差异无统计学意义(P>0.05)。结论高血压社区综合干预1年,可有效降低患者的血压水平,提高血压控制率。

Objective To evaluate efficacy of community-based comprehensive interventions on hypertension in Nanjing. Methods Using self-designed Gaochun District Chronic Non-communicable Diseases Management Evaluation Questionnaire,a total of 3 990patients with hypertension were investigated in 2011,who were subjected to comprehensive intervention management in different groups.Follow-up surveys were conducted in half and 1year after baseline survey.Results Follow-up survey rate was 99.0%and 98.9%,respectively.GEE analysis revealed that compared to baseline survey,systolic blood pressure and diastolic blood pressure of patients with hypertension dropped after 6months of comprehensive community-based interventions, no significant difference was observed.Blood pressure control rate was 1.138times of survey baseline,with significant difference（P〈.05）.After 1-year comprehensive interventions,systolic blood pressure dropped by 4.531mmHg in average,while diastolic blood pressure dropped by 1.525mmHg in average,control rate was 2.236times of baseline survey,with significant difference（P〈.05）.No significant difference was observed for morbidity of cardiovascular events（P〈.05）.ConclusionsOne-year community-based comprehensive interventions for patients with hypertension reduced their blood pressure level and enhanced blood pressure control rate.