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目的探讨高血压高危人群干预前后的高血压知识知晓情况及身体状况,为预防高血压提供基础资料。方法对德胜社区166名高血压高危人群进行评估、建档,给予个体化生活方式行为指导等干预,并进行效果评价。结果经过2008年至2009年1年的干预,干预后高血压高危人群的甘油三酯、总胆固醇和低密度脂蛋白水平分别由(1.92±1.41)mmol/L、(5.23±0.98)mmol/L和(3.75±0.93)mmol/L下降至干预后的(1.36±0.95)mmol/L、(4.83±1.16)mmol/L和(3.12±0.84)mmol/L。现存危险因素中的膳食高盐、低钾、低钙、缺乏体力运动和长期精神紧张的比例分别由干预前的35.5%、60.2%和32.5%下降至干预后的24.1%、45.2%和15.1%。高血压平均知识知晓率从54.8%上升至82.5%。血压水平没有进一步升高。结论在社区卫生服务站对高血压高危人群进行规范化管理和干预,有利于养成良好的生活方式,控制血压水平和防治高血压疾病。
Objective To investigate the knowledge of hypertension and physical condition before and after intervention in high-risk population of hypertension to provide basic information for preventing hypertension. Methods The 166 hypertension patients in Desheng community were evaluated, the files were archived, the behavioral guidance of individualized lifestyle was given, and the effect was evaluated. Results The levels of triglyceride, total cholesterol and low density lipoprotein in high risk groups of hypertension after intervention from 2008 to 2009 were (1.92 ± 1.41) mmol / L and (5.23 ± 0.98) mmol / L And (3.75 ± 0.93) mmol / L to (1.36 ± 0.95) mmol / L, (4.83 ± 1.16) mmol / L and (3.12 ± 0.84) mmol / L respectively after intervention. The proportion of existent risk factors of dietary high salt, low potassium, low calcium, lack of physical exercise and long-term stress decreased from 35.5%, 60.2% and 32.5% before intervention to 24.1%, 45.2% and 15.1% after intervention, respectively . The average awareness rate of hypertension increased from 54.8% to 82.5%. No further increase in blood pressure levels. Conclusions The standardized management and intervention of high risk population of hypertension in community health service stations is conducive to developing a good life style, controlling blood pressure and preventing and treating hypertension.