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中国初级卫生保健:2019,33(11):69-71
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上海市华亭镇社区高血压高危人群综合干预研究
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中文摘要: 目的 对社区高血压高危人群综合干预的效果进行评价。方法 2017年10月—2018年9月在华亭镇随机选取6个村(居)委,任取其中3个作为干预村(居)委,剩下3个作为对照村(居)委,利用高血压高危人群筛查评分表筛选出321名高血压高危人群作为干预组,历年筛查所得并纳入社区管理系统中的290名高血压高危人群作为对照组。对照组实施常规管理,干预组实施以健康教育、生活方式指导为主的综合干预。干预一年后,比较两组高血压知识知晓率、收缩压、舒张压、体质指数(BMI)和腰围指标变化情况。 结果 干预一年后,干预组与对照组性别、婚姻、文化程度和职业情况比较,差异无统计学意义(P>0.05),年龄分布差异有统计学意义(P<0.05)。干预组对“成人高血压诊断标准”、“吸烟”和“肥胖或超重”等知识知晓率均高于对照组,收缩压、体质指数(BMI)和腰围干预组与对照组比较均明显下降。结论 综合干预可以提高高危人群高血压知识知晓率,改善体格检查指标和血压水平,降低高血压发病风险。
中文关键词: 高血压  高危人群  综合干预
Abstract:OBJECTIVE To evaluate the effects of comprehensive intervention among high-risk population of hypertension in community. METHODS From October 2017 to September 2018, 6 villages were randomly selected in Huating town. 3 villages were regarded as intervention while 3 villages were regareded as control. It used hypertensive high-risk population screening scale to selecte 321 high-risk groups as intervention group from intervention villages. It screened 290 high-risk population in the community management system in previous years acted as control group. The control group carried out routine management. The intervention group carried out health education and way of life comprehensive health intervention. Awareness rate, systolic pressure, diastolic blood pressure, BMI and waist circumference of two groups were compared after a year. RESULTS After a year of intervention, sex, marriage,culture degree, occupation of the intervention group and the control group had no statistics significances(P>0.05). But the age had statistics significance(P<0.05). The awareness rate of the intervention group such as adult hypertension diagnosis standard, smoking, obese or overweight were higher than the control group. Systolic pressure, BMI and waistline of the intervention group were lower than the control group. CONCLUSION Comprehensive intervention could improve the awareness of hypertension knowledge of people at high risk, improve physical examination index and blood pressure levels, lower hypertension risk.
文章编号:3201911022     中图分类号:R544.1    文献标志码:
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