农村中老年人群高血压病分层干预的效果分析

Effect of hierarchical intervention on hypertension prevention and control among middle-aged and elderly people in rural area

目的 探讨农村分层干预防控高血压病的效果,提高农村中老年人群高血压病的知晓率及健康促进行为.方法 2014年3月—2016年2月分全人群、高血压前期组、高血压病组三层次对农村中老年人逐渐深化实施干预方案.结果 研究组健康促进生活方式评分（132.86±16.70）分,明显高于对照组的（113.72±20.86）分及自身干预前的（108.47±16.161）分,差异均有统计学意义（P〈0.01）;研究组血压值、定期监测血压、BMI均优于对照组、干预前,差异均有统计学意义（P〈0.05）;高血压相关知识的知晓率显著高于对照组、干预前,差异均有统计学意义（P〈0.01）.结论 中老年人群农村社区分层、逐步深化健康教育干预可提高高血压病的知晓率、有助于形成健康促进行为,进而防控高血压病.

Objective To discuss the effect of hierarchical intervention on hypertension prevention and control in rural area,so as to improve awareness rate and health promoting behaviors about the hypertension disease among middle-aged and the elderly in rural area. Methods A gradually deepening intervention scheme was implemented hierarchically of levels of entire population,prehypertension group and hypertension group from March 2014 to February 2016. Results After the intervention, score of health-promoting lifestyle in the research group was（132.86±16.70）,significantly higher than that in the control group（113.72±20.86）,and also within the group,higher than before the intervention （108.47±16.161）（P 〈 0.01）. Value of blood pressure,regular behavior of measurement and body mass index in the research group were all better than those in the control group and before the intervention （P 〈 0.05）. Awareness rate of knowledge related to hypertension in the research group was significantly higher than those in the control group and before the intervention（P〈0.01）. Conclusions The gradually deepening hierarchical health education intervention among middle-aged and elderly people in rural communities can prevent and control hypertension by improving awareness rate of the disease and help developing health promoting behaviors.