|本期目录/Table of Contents|

[1]罗彩琴,贾绍斌,王义勇,等.宁夏高血压社区干预效果评价[J].宁夏医科大学学报,2012,(03):237-240.
 LUO Cai-qin,WANG Yi-yong,CONG Guang-zhi,et al.Evaluation of Community-based Intervention on Hypertension Patients in Ningxia[J].Ningxia Medical University,2012,(03):237-240.
点击复制

宁夏高血压社区干预效果评价(PDF)
分享到:

《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2012年03期
页码:
237-240
栏目:
论著
出版日期:
2012-03-30

文章信息/Info

Title:
Evaluation of Community-based Intervention on Hypertension Patients in Ningxia
作者:
罗彩琴1 贾绍斌2 王义勇1 丛广志1 汪 浩1 刘 静1
1.宁夏医科大学,银川 750004; 2.宁夏医科大学总医院心脏中心,银川 750004
Author(s):
LUO Cai-qin1 WANG Yi-yong1 CONG Guang-zhi1 JIA Shao-bin2 WANG Hao1 LIU Jing1
1.Ningxia Medical University,Yinchuan 750004; 2.The General Hospital of Ningxia Medical University, Yinchuan 750004
关键词:
高血压 社区干预 效果评价 宁夏
Keywords:
hypertension community-based intervention evaluation Ningxia
分类号:
R541.1
DOI:
-
文献标志码:
A
摘要:
目的 评价宁夏回族自治区高血压社区干预的效果。方法 采用分层整群随机抽样对宁夏5个县(市)≥18岁的12900例居民进行调查,检出的2849例高血压病人作为研究对象。2489例高血压病人随机分为社区干预组与对照组。对干预组患者实施高血压及相关危险因素的健康教育,通过比较干预组与对照组患者干预前后治疗率、控制率、体重指数达标率、各种不良生活行为改变率,评价干预效果。结果 干预前干预组收缩压(144.54±17.87)mmHg和舒张压(89.52±11.24)mmHg与对照组(144.05±18.03)、(89.30±11.18)mmHg相比差异无统计学意义,干预后干预组两值(137.15±15.22)、(85.43±10.78)mmHg 均显著低于对照组( 143.60±17.43)、(89.15±11.12)mmHg,差异有统计学意义(P<0.01); 干预后干预组高血压患者的治疗率、控制率、体重指数达标率分别为81.51%、54.86%、44.32%,对照组高血压患者上述三率分别为71.36%、30.09%、37.09%,干预组高于对照组,差异有统计学意义(P均<0.01); 干预组干预后的吸烟率、饮酒率、合理运动率、低盐饮食率等生活方式及行为均有显著改变(P均<0.01)。结论 通过对高血压患者进行高血压健康知识教育,可以有效提高高血压患者血压达标率,改变患者的不良行为及生活方式,从而降低高血压发病率。
Abstract:
Objective To evaluate the effect of community-based intervention on hypertension patients in Ningxia. Methods Through cluster multistage and random sampling, 12900 subjects aged≥18 years old in five counties(cities)of Ningxia were investigated, and 2849 hypertension patients were found. They were included in the current study. 2849 cases with hypertension were randomly divided into the community-based intervention group and the control group. Effectiveness was evaluated through contrasting the intervention group and control group about the situation of taking medicine, effectiveness of blood pressure control and bad behavioral change with original ones. Results The SBP(144.54±17.87)mmHg and DBP(89.52±11.24)mmHg in intervention group was no significantly different from those in control group at baseline, while after the intervene they were significant lower in intervention group(137.15±15.22)mmHg,(85.43±10.78)mmHg than those in control group(143.60±17.43)mmHg,(89.15±11.12)mmHg; rate of taking medicine(81.51%), success rate of blood pressure control(54.86%), and success rate of BMI(44.32%)in intervention group were higher than those in control group(the corresponding rates were71.36%,30.09% and 37.09% respectively); The bad behavior changed significantly(P<0.01)in intervention group after invention. Conclusion By health education on relative knowledge, we can increase the success rate of blood pressure, correct the patients' bad behavior and reduce the prevalence of hypertension.

参考文献/References:

[1] Yusuf S,Reddy S,OunPuu S,et al.Global burden of cardiovascular disease:partⅠ:general considerations,the epidemiologic transition,risk factors,and impact of urbanization[J].Circulation,2001,104(13):2746-2753.
[2] World Health Organization,International Society of Hypertension Writing Group.2003 World Health Organization(WHO)/ International Society of Hypertension(ISH)statement on management of hypertension[J].J Hypertens,2003,21(11):1983-1992.
[3] 中国高血压防治指南修订委员会.中国高血压防治指南(2005年修订版)[M].北京:人民卫生出版社,2006:7-12.
[4] 中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南(2005 年版)[M].北京:人民卫生出版社,2006:30-38.
[5] 王陇德.中国居民营养与健康状况调查报告:2002综合报告[M].北京:人民卫生出版社,2005:53-55.
[6] 严迪英.社区干预[J].中国慢性病预防与控制,2000,8(1):44-45.
[7] 赵晓军,吉俊敏,郭晓键.常州市近郊社区高血压健康教育重点人群特征探讨和干预方向研究[J].现代预防医学,2009,36(2):245-248.
[8] 陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2008:251-266.

相似文献/References:

[1]杨 炬,王 雯,高 洁,等.宁夏职业暴露人群和环境高致病性禽流感感染情况调查[J].宁夏医科大学学报,2013,(03):286.
 YANG Ju,WANG Wen,GAO Jie,et al.Investigation of Avian Influenza A Virus Infection among Occupational Exposed Population of Ningxia[J].Ningxia Medical University,2013,(03):286.
[2]李海军,杨媛媛,周莉薇,等.2010年宁夏人群乙肝表面抗体特征分析[J].宁夏医科大学学报,2013,(03):280.
 LI Hai-jun,YANG Yuan-yuan,ZHOU Li-wei,et al.The Characteristics on Hepatitis B Surface-antibodyof Healthy People of Ningxia in 2010[J].Ningxia Medical University,2013,(03):280.
[3]赵兴,郭健伟,刘欢,等.原发性高血压患者红细胞和血小板参数的变化与颈动脉粥样硬化的关系[J].宁夏医科大学学报,2013,(02):206.
[4]雷 娇,张立明.宁夏与东北短梗五加不同部位黄酮含量比较[J].宁夏医科大学学报,2013,(02):157.
 LEI Jiao,ZHANG Li-ming.Comparison Study of Total Flavonoid in Parts of Acanthopanax Sessiliflorus Seem between Ningxia and Northeast Areas[J].Ningxia Medical University,2013,(03):157.
[5]赵金鑫,张 琳,宁艳花.高血压患者社区综合干预效果评价[J].宁夏医科大学学报,2013,(02):134.
 ZHAO Jin-xin,ZHANG Lin,NING Yan-hua.Evaluation on Effect of Comprehensive Community-based Intervention of Hypertension[J].Ningxia Medical University,2013,(03):134.
[6]许红霞,张毓洪,刘 瑛,等.银川市农村青年人高血压患病率及危险因素分析[J].宁夏医科大学学报,2013,(01):63.
 XU Hong-xia,ZHANG Yu-hong,LIU Ying,et al.Prevalence and Risk Factors of Hypertension among Rural Young Adults in Yinchuan City[J].Ningxia Medical University,2013,(03):63.
[7]周路平,吴惠忠,尤文宁,等.2011年宁夏居民碘营养现况调查[J].宁夏医科大学学报,2013,(01):55.
 ZHOU Lu-ping,WU Hui-zhong,YOU Wen-ning,et al.The Survey of Iodine Nutrition in Ningxia Residents in 2011[J].Ningxia Medical University,2013,(03):55.
[8]靳 峰,李 丽,宋晓佳,等.2010年宁夏布鲁氏菌病重点人群流行病学现况调查分析[J].宁夏医科大学学报,2013,(01):49.
 JIN Feng,LI Li,SONG Xiai-jia,et al.An Epidemiology Investigation of the Brucellosis in Key Population of Ningxia in 2010[J].Ningxia Medical University,2013,(03):49.
[9]李鸿成,慕 明,谢 峰,等.宁夏地区2006~2011年尘肺病新发病例现况分析[J].宁夏医科大学学报,2013,(09):998.
 LI Hongcheng,Mu Ming,Xie Feng,et al.Analysis on New Cases of Pneumoconiosis in Ningxia Region from 2006 to 2011[J].Ningxia Medical University,2013,(03):998.
[10]王志忠,王俊峰,张毓洪,等.宁夏地区成人失眠现况及影响因素分析[J].宁夏医科大学学报,2013,(09):994.
 WANG Zhizhong,WANG Junfeng,ZHANG Yuhong,et al.An Investigation of Insomnia Status and the Risk Factors in Ningxia[J].Ningxia Medical University,2013,(03):994.

备注/Memo

备注/Memo:
收稿日期:2011-10-24 基金项目:宁夏科技攻关项目(2007-182) 作者简介:罗彩琴(1986-),女,宁夏人,住院医师,在读硕士研究生,从事冠心病介入治疗及高血压相关研究工作。E-mail:Luo_caiqin@126.com 通信作者:贾绍斌,主任医师,从事冠心病介入治疗及高血压相关研究工作。E-mail:jsbxn@163.com
更新日期/Last Update: 2012-03-20