辽宁省丹东市城市社区高血压健康教育综合干预效果评价
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辽宁省丹东市城市社区高血压健康教育综合干预效果评价
作者:汪润笙  崔士民  解鸿鹏   
单位:辽宁省丹东市健康教育所  
关键词:高血压  干预  效果  评价  
分类号:R544.1;R193
出版年,卷(期):页码:2009,25(10):752-754
摘要:

目的评价辽宁省丹东市城市社区高血压健康教育综合干预效果。方法在丹东市区选择2个经济条件相同、人口构成相似的社区,抽取2个社区中35岁以上居民分别组成干预组和对照组,干预组进行高血压健康教育综合干预,对照组进行常规社区慢性病健康教育。基线调查、干预中期和干预终期分别对调查对象高血压相关知识、行为和高血压治疗情况进行调查,评价干预效果。结果共调查社区居民843人,其中干预组416人,对照组427人。终期评估时,干预组高血压相关知识总知晓率由41.3%提高至80.6%(P<0.01);对照组由42.1%提高至49.4%(P<0.01),但提高幅度不大;干预组各项高血压相关知识知晓率均高于对照组(P<0.01)。终期评估时,干预组吸烟率由35.4%下降至22.7%,饮酒率由35.6%下降至24.5%,低脂饮食比例由40.5%提高至50.2%,差异均有统计学意义(P<0.05);对照组各项行为均无明显改变(P>0.05);干预组的吸烟率、饮酒率低于对照组,低脂饮食比例高于对照组(P<0.01)。终期评估时,干预组高血压患者的治疗率和控制率分别为70.2%和55.3%,较基线调查时明显提高(P<0.01),也明显高于对照组(P<0.01)。结论综合性社区健康教育干预对高血压的防治具有良好的控制效果。

Objective To evaluate the effectiveness of health education and comprehensive intervention for blood high pressure among city communities in Dandong City,Liaoning Province.Methods Among city communities in Dandong,two communities with similar economy and population makeup were selected to form the intervention and control group,and residents aged over 35 were invited to participate in the study.Participants in the intervention group received health education and comprehensive intervention on high blood pressure(HBP),and regular chronic disease education was applied to the control group.Baseline,mid-time,and end-time surveys were conducted to collect information on HBP-related knowledge,behavior,and treatments.Results 843 residents participated in the study,416 in the intervention group and 427 in the control group.After the intervention,the awareness rate of HBP knowledge in the intervention group increased from 41.3% to 80.6%(P<0.01),and the awareness rate of HBP knowledge in the control group increased from 42.1% to 49.4%(P<0.01).The awareness rates of each piece of knowledge in the intervention group were all higher than those in the control group.The smoking rate in the intervention group decreased from 35.4% to 22.7%,drinking rate 35.6% to 24.5% and low-fat diet 40.5% to 50.2%.All of them had statistical significance(P<0.05).These behaviors in the control group did not change(P>0.05).After the intervention,the treatment rate and control rate among HBP patients in the intervention group were 70.2% and 55.3% respectively,higher than the rates in baseline survey(P<0.01) and in the control group(P<0.01).Conclusion Comprehensive community health education and intervention was effective in preventing and treating high blood pressure. 

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