目的研究探讨高校附属医院城市社区授权教育对高血压患者的影响。方法 2011年9—12月选择社区高血压患者120例,随机分为对照组和实验组各60例。对照组采用常规健康教育管理,实验组采用高校附属医院城市社区授权教育管理。分别在干预前...目的研究探讨高校附属医院城市社区授权教育对高血压患者的影响。方法 2011年9—12月选择社区高血压患者120例,随机分为对照组和实验组各60例。对照组采用常规健康教育管理,实验组采用高校附属医院城市社区授权教育管理。分别在干预前、干预3、6个月检测患者收缩压(systolicblood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、BMI进行比较;并在干预6个月结束后发放健康调查简表(the Mos item short from health survey,SF-36)和对社区健康教育工作满意度问卷,比较两组生存质量、对健康教育满意度。计量资料采用t检验,P<0.05为差异有统计学意义。结果干预3、6个月SBP、DBP对照组分别为(150.55±6.38)、(146.78±7.92)、(95.12±4.65)、(93.24±5.06)mmHg(1mmHg=0.133kPa),实验组分别为(145.43±5.83)、(132.73±3.45)、(89.67±2.94)、(80.52±3.94)mmHg,两组比较差异均有统计学意义(t=4.59、12.60、7.67、15.36,均P<0.05)。BMI对照组分别为(24.05±3.05)、(23.72±3.13)kg/m2,实验组分别为(21.73±3.10)、(19.13±2.34)kg/m2,两组比较差异均有统计学意义(t=4.13、9.10,均P<0.05)。干预6个月生存质量、对健康教育满意度评分对照组分别为(55.34±4.45)、(6.34±0.54)分,实验组分别为(90.25±3.64)、(9.85±0.42)分,两组比较差异均有统计学意义(t=47.04、39.74,均P<0.05)。结论对高血压患者实施城市社区授权教育,有效降低了血压和BMI,效果明确,值得推广。展开更多
This paper provided a reviewed case of implementation of rural development project in relation to poverty alleviation in Adamawa State of Nigeria. Inco-prorating the community based management project in rural develop...This paper provided a reviewed case of implementation of rural development project in relation to poverty alleviation in Adamawa State of Nigeria. Inco-prorating the community based management project in rural development strategies seems to be the best approach to implement rural development project. The study used both qualitative and quantitative research techniques to obtain data on the implementation of LEEMP （local empowerment and environmental management project）. The result shows that the project has impacted positively to rural development of some rural communities in the state. However, there were challenges discovered, which include non-inclusion of some stake holders because of social class or due to political affiliations, while projects are not evenly distributed among communities of serious needs. This paper implies that effective incorporation of rural communities in the managements of rural development projects requires full community participation in the development process. This requires collective action, which ties the community on values, sustainable maintenance of infrastructures, and improvements, in cultures, of environmental conservation and economics benefits into rural development, with balancing the aim of sustaining social infrastructures, environmental management and poverty alleviation.展开更多
文摘目的研究探讨高校附属医院城市社区授权教育对高血压患者的影响。方法 2011年9—12月选择社区高血压患者120例,随机分为对照组和实验组各60例。对照组采用常规健康教育管理,实验组采用高校附属医院城市社区授权教育管理。分别在干预前、干预3、6个月检测患者收缩压(systolicblood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、BMI进行比较;并在干预6个月结束后发放健康调查简表(the Mos item short from health survey,SF-36)和对社区健康教育工作满意度问卷,比较两组生存质量、对健康教育满意度。计量资料采用t检验,P<0.05为差异有统计学意义。结果干预3、6个月SBP、DBP对照组分别为(150.55±6.38)、(146.78±7.92)、(95.12±4.65)、(93.24±5.06)mmHg(1mmHg=0.133kPa),实验组分别为(145.43±5.83)、(132.73±3.45)、(89.67±2.94)、(80.52±3.94)mmHg,两组比较差异均有统计学意义(t=4.59、12.60、7.67、15.36,均P<0.05)。BMI对照组分别为(24.05±3.05)、(23.72±3.13)kg/m2,实验组分别为(21.73±3.10)、(19.13±2.34)kg/m2,两组比较差异均有统计学意义(t=4.13、9.10,均P<0.05)。干预6个月生存质量、对健康教育满意度评分对照组分别为(55.34±4.45)、(6.34±0.54)分,实验组分别为(90.25±3.64)、(9.85±0.42)分,两组比较差异均有统计学意义(t=47.04、39.74,均P<0.05)。结论对高血压患者实施城市社区授权教育,有效降低了血压和BMI,效果明确,值得推广。
文摘This paper provided a reviewed case of implementation of rural development project in relation to poverty alleviation in Adamawa State of Nigeria. Inco-prorating the community based management project in rural development strategies seems to be the best approach to implement rural development project. The study used both qualitative and quantitative research techniques to obtain data on the implementation of LEEMP （local empowerment and environmental management project）. The result shows that the project has impacted positively to rural development of some rural communities in the state. However, there were challenges discovered, which include non-inclusion of some stake holders because of social class or due to political affiliations, while projects are not evenly distributed among communities of serious needs. This paper implies that effective incorporation of rural communities in the managements of rural development projects requires full community participation in the development process. This requires collective action, which ties the community on values, sustainable maintenance of infrastructures, and improvements, in cultures, of environmental conservation and economics benefits into rural development, with balancing the aim of sustaining social infrastructures, environmental management and poverty alleviation.
