社区高血压病患者的危险因素及干预效果的研究

Study on risk factors of hypertension patients in community and the effect of intervention

目的对社区服务居民进行高血压的危险因素分析并针对危险因素进行干预的效果进行研究。方法对社区居民的高血压情况进行调查,并建立患者的健康档案。针对存在的危险因素进行有针对性的教育,对患者进行相应的健康干预,比较患者的高血压症状改善情况。结果本社区高血压的发生率为8.6%,患者的高年龄、高BMI,吸烟、喝酒、高盐和高脂饮食以及存在高血压家族史使其高血压的发生率高于其他患者,比较差异具有统计学意义(P<0.05),性别比较差异不具有统计学意义(P>0.05)。并且患者接受干预后血压控制明显优于干预前,比较差异具有统计学意义(P<0.05)。患者的健康行为如低盐饮食,适量运动、控制体重、按时服药情况均显著优于干预前,比较差异具有统计学意义(P<0.05),戒烟戒酒情况干预前后无明显差异(P>0.05)。结论论高龄、高BMI,吸烟、喝酒、高盐和高脂饮食以及高血压家族史为社区居民高血压发病的高危因素,并进行针对性健康干预有助于患者控制高血压。

Objective To study the risk factors of hypertension analyzed for community services for residents and the effect of intervention. Methods The investigation of hypertension in community residents were established the patient＇s health archives. In view of the existing risk factors were targeted for education corresponding to the patients for health intervention and comparison of patients with hypertensive symptom improvement. with high age, Results Patients high BMI, smoking, drinking, high salt and high fat diet and the presence of a family history of hypertension incidence was higher than that of other patients with significant difference （P 〈0.05）, The gender difference was not statistically significant （P 〉 0.05） And intervention patients after blood pressure control was obviously better than before the intervention, with significant difference （P 〈 0.05） A low salt diet behavior, regular control, regular significantly be patients health exercise, weight medication were tter than before the intervention, with significant difference （P 〈 0.05）, significant difference before and after the intervention to give up smoking and drinking no （P 〉 0.05）. Conclusion The risk factors for community residents high BMI, smoking, dr salt and high fat diet hypertension of were elderly, inking and high and family and targeted health interventions was help patients control hypertension.