社区人群预防心脑血管病健康教育效果评价

Evaluation of effects of health education on prevention of cardio-cerebro-vascular diseases in community population

“九五”期间 ,我们在北京、上海和长沙三城市社区开展以健康教育为主的预防心脑血管病综合性干预 ,按类试验设计评价其对社区人群知识、态度和行为水平的影响。结果显示 ,干预后三地人群和高血压人群KAB水平均分分别净提高 6 0 1和 6 12分 ,均有统计学差异。高血压人群的 3个月以内测压及规律服药人数比例干预后分别净提高 9 6 5 %和 7 33% ,前者有统计学差异。表明健康教育能提高人群预防心脑血管病知识、态度和行为水平 。

A comprehensive community-based intervention with health education as the major measure for preventing cardio-cerebro-vascular diseases in selected urban residents in Beijing, Shanghai and Changsha cities during the periods of the ninth “five-year” plan (1996-2000) was conducted, and its effects on knowledge, attitude and behavior (KAB) changes were evaluated by quasi-trial designation. Results show that the net KAB level increases by 6\^01 scores in three cities and by 6\^12 scores in patients suffering from hypertension after intervention, and these changes in scores are statistically significant. The net percentage of hypertension patients who took blood pressure measurement regularly within every 3 months and the net percentage of them who took anti-hypertension drugs regularly for therapy increased by 9\^65% and 7\^33% respectively after the intervention and the former increased was statistically significant. It is concluded that health education may promote the improvement of knowledge, attitude and behavior changes of participants and is of great importance for preventing cardio-cerebro-vascular diseases in communities.