综合干预对功能社区高血压人群心血管健康行为及因素的改善情况研究

Change of Cardiovascular Health Behaviors and Factors by Comprehensive Hypertension Intervention in Functional Community

目的探讨综合干预对功能社区高血压人群心血管健康行为和因素的改善情况。方法选取开滦集团井下在职高血压职工自2009年4月开始进行综合干预,干预措施包括健康宣教、免费降压药物发放及工会参与,分析综合干预后高血压职工心血管健康行为〔吸烟情况、体质指数(BMI)、体育锻炼及健康饮食〕和因素〔总胆固醇(TC)、血压及空腹血糖(FBG)〕的改善情况。结果 (1)综合干预后研究人群心血管健康行为和因素中的吸烟、饮食、血压、FBG及TC均得到改善,与干预前比较差异有统计学意义(P<0.05);(2)综合干预后研究人群平均理想心血管健康行为和因素数由(2.06±1.09)个增至(2.37±1.05)个,干预前后比较差异有统计学意义(t=-20.08,P<0.01);(3)综合干预后心血管平均健康评分由(6.85±1.90)分增至(7.52±1.92)分,干预前后比较差异有统计学意义(t=-26.73,P<0.01)。结论在工作场所对高血压人群进行综合干预可有效改善心血管健康行为和因素。

Objective To explore the change of cardiovascular health behaviors and factors by comprehensive hypertension intervention in functional communities.Methods Since April 2009,the on- the- job workers of Kailuan Group who were hypertensive patients began to receive the comprehensive hypertension intervention.Interventions measures included propaganda and health education,free distribution of antihypertensive medications and trade union participation.The change of cardiovascular health behaviors（ smoking,BMI,physical exercises and healthy diets） and factors〔total cholesterol（ TC） and fasting blood glucose（ FBG） 〕was analyzed after that.Results（ 1） Smoking,diet,blood pressure,fasting blood glucose and total cholesterol in the cardiovascular health behaviors and factors all had improved and the difference from those before intervention was significant（ P 0.05）.（ 2） The total number of ideal cardiovascular health behaviors and factors increased from（ 2.06± 1.09） to（ 2.37 ± 1.05）,and the difference was statistically significant（ t =- 20.08,P 0.01）.（ 3） The mean cardiovascular health scores increased from（ 6.85 ± 1.90） to（ 7.52 ± 1.92） after the comprehensive intervention,and the difference was statistically significant（ t =- 26.73,P 0.01）.Conclusion The cardiovascular health behaviors and factors can be changed efficiently by comprehensive intervention for hypertension in functional communities.