石河子市某社区居民高血压两年综合干预效果评价

Evaluation on the Effectiveness of Comprehensive Community Intervention about Hypertension in a Community of Shihezi

采用高血压知识、态度、行为和血压等指标多方位评价高血压社区综合干预效果。用随机整群抽样抽取石河子市某社区共1486名18~75岁常住居民为研究对象,先进行基线调查,根据调查结果将研究人群分为一般人群、高危人群、患者,然后给予不同的干预措施,干预两年后进行结局调查,分析干预前后高血压知识、态度、行为、血压及相关指标。结果显示,干预后高血压诊断标准、危险因素、并发症、防治措施4项知识平均知晓率（57.7%、29.1%、35.1%、57.9%）高于干预前（50.8%、22.9%、26.8%、53.9%）;态度方面干预后认为有必要预防、愿意接受宣传（69.0%、48.8%）高于干预前（58.6%、41.7%）,行为中低盐饮食率干预后（49.0%）高于干预前（45.2%）;干预后一般人群、高危人群、患者收缩压分别下降了2.8、1.9和6.5 mm Hg。由此可知,通过综合干预社区居民高血压知识、态度及行为改善,血压总体水平下降。

To estimate the effect of synthesize intervention by analysis knowledge, attitude and practice （KAP） about hypertension, and other indexes.1486 samples aged from 18-75 were collected as the subjects by cluster random samplings among one community residents in Shihezi city in Xinjiang.A questionnaire-based survey were conducted to evaluate the effectiveness of the health education before and after the intervention.Results showed that after the intervention, there were significant increases in awareness of diagnostic function, risk factors,complication, preventive methods （57.7%,29.1%,35.1%,57.9%） to （50.8% ,22.9%, 26.8%,53.9%） compared with the baseline.The attitude deemed necessary to prevent, accept publicity （69.0%,48.8%） higher than before（58.6%,41.7%）,low-salt diet declined from 49.0% to 45.2% after the intervention. Compared with ~he baseline,the general population, high-risk groups,patients with systolic blood pressure decreased by 2.8 mmHg, l.9 mmHg,6.5 mmHg after the intervention.The comprehensive intervention of hypertension improved knowledge,attitudes, behavior of community residents,and blood pressure declined.