干预措施对社区居民高血压控制率的影响

Influence of intervention for hypertension control rate of community residents

目的分析高血压的危险因素与干预预防措施,探讨干预措施对社区居民高血压控制率的影响。方法通过健康体检确诊高血压的患者400例,随机分为观察组190例,对照组210例,针对调查结果采取必要的干预措施。对观察组患者进行综合干预以观察高血压的控制率;对照组不做特殊干预,仍沿用原来的生活方式。3年后比较两组患者的高血压控制率。结果本社区居民高血压的危险因素主要是饮食结构不合理、口味重、缺乏运动、焦虑、精神抑郁、肥胖、吸烟、酗酒等。观察组在通过干预后高血压的控制率为79.5%,明显升高并优于对照组42.9%(P<0.05)。结论针对本社区居民高血压的危险因素,通过社区干预和体检中心专职人员定期随访及免费进行体检相结合使高血压病情得到有效控制,提高控制率。

Objective To analyze risk factors for hypertension and its prevention and intervention measures, and to investigate the influence of intervention on community residents＇ hypertension control rate. Methods A total of 400 residents with hypertension diagnosed by physical examination were randomly divided into observation group （n=190） and control group （n=120）. The risk factors of hypertension were analyzed, and necessary interventions were conducted. The observation group was treated by comprehensive intervention for observing the control rate of hypertension. The control group received no special intervention and still followed the original lifestyle. Three years later, the hypertension control rates of two groups were compared. Results The risk factors for community with hypertension mainly were irrational diet, heavy taste, lack of exercise, anxiety, depression, obesity, smoking, alcoholism, etc. After intervention, hypertension control rate of the observation group was 79.5%, which was significantly higher than 42.9% of the control group （P〈0.05）. Conclusion For risk factors of hypertension in the community, applying community intervention, examination center full-time staff＇ s regular follow-up and free medical examination can effectively control the disease and improve its control rate.