我院高血压病社区干预效果评价

目的探讨高血压病社区综合干预的可行性和有效性。方法通过对我院92名高血压病患者进行健康教育、生活方式干预和根据高血压病防治指南制定的个体化药物干预，随访16个月，观察其生活方式的改变、血压下降程度和并发症的发生。结果干预前我院高血压病人戒烟限酒、低盐饮食、规律运动和控制体重人数比率分别为21．7%、28．3％、34．7％和32．60，干预后分别为86．9％、89．1％、85．9％和71．7％（P〈0．01）。干预前我院高血压病患者对高血压知晓率、治疗率和控制率分别为60．8％、43．4％、28．3％，干预后分别为97．8％、80．4％、84．8%（P〈0．05）；干预前收缩压为（158．73±10．06）mmHg，舒张压为（103．40±7．21）mmHg;干预后收缩压为（128．40±9．36）mmHg，舒张压为（87．64±5．73）mmHg（P〈0．05）。结论社区高血压综合干预能有效提高高血压患者的知识知晓率、治疗率和控制率，能有效降低血压和减少并发症的发生。

Assessment of Community-based Intervention Effect of Hypertension in our University

Objective： Exploring the feasibility and effectiveness of community-based intervention on hyper- tension. Method： 92 patients with hypertension in our school were given health care, and life style inter- vention and individualized medicine intervention according to the guide to hypertension prevention, then all the patients were followed up for 16 months, and the changes of life style, decreasing degree in high blood and the occurrence of related complications were carefully observed. Result： Before the intervention, the number of the subjects who gave up smoking and drinking, ate low-salt diet, exercised regularly and con- trolled their weight was 21, 7%, 28. 3%, 34. 7% and 32.6 respectively. But after the intervention, the number was 86. 9%, 89. 1%, 85. 9% and 71. 7% （P〈0. 01） respectively. Before the intervention, the awareness rate, treatment rate and control rate for patients with hypertension in our school was 60. 8%, 43.4%,28. 3%t, after the intervention, rate was raised to 97.8%,80.4%,84.8% （P%0.05）. Before the intervention, the average SBP was 158. 73±10.06mmHg, and DBP was 103. 40±7. 21mmHg, while after the intervention, the average SBP was 128.40±9. 36mmHg, and DBP was 87. 64±5.73mmHg（P〈0. 05）. Conclusion： Comprehensive community-based intervention on hypertension can effectively raise the awareness rate, treatment rate and control rate for patients and reduce the hypertension and the related complications.