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目的评价电话干预对心血管健康管理的效果。方法选取在杭州市五云山疗养院接受健康管理的正常体检者132人,通过健康讲座、健康促进技能培训、持续6个月的电话随访,调查干预前后心血管防治知信行、健康行为和因素及治疗依从性,评价干预效果。结果干预后,心血管防治知识总知晓率为87.50%,高于干预前的45.45%(P<0.01),9道题目的知晓率均高于干预前(P<0.01);心血管防治态度和行为正向持有率均高于干预前(P<0.01);血压、TC、FPG、体育锻炼和低盐饮食5项评价为“差”的比例均低于干预前(P<0.05);BMI、吸烟情况改善不明显(P>0.05);高血压、糖尿病、高脂血症患者的药物治疗率和监测复诊率均高于干预前(P<0.05)。结论电话干预对提高心血管防治知识水平、增强防治信念、促进理想心血管健康行为和因素的形成、提高治疗依从性有一定的效果。
Objective To evaluate the effect of telephone intervention on cardiovascular health management. Methods 132 healthy subjects were selected for health management at the Wuyunshan Sanatorium in Hangzhou. Through health talks, health promotion skills training and telephone follow-up for 6 months, the information of cardiovascular prevention and control, health behavior and factors before and after intervention were investigated. Treatment compliance, evaluate the effect of intervention. Results After the intervention, the total awareness rate of cardiovascular prevention and treatment was 87.50%, which was higher than 45.45% before intervention (P <0.01). The awareness rate of 9 items was higher than that before intervention (P <0.01) (P <0.01). The proportions of blood pressure, TC, FPG, physical exercise and low-salt diet were all “poor” before intervention (P <0.05) (P> 0.05). The rates of medical treatment and follow-up of patients with hypertension, diabetes and hyperlipidemia were higher than those before intervention (P <0.05). Conclusion Telephone intervention has some effects on improving the knowledge of cardiovascular control, enhancing the prevention and control of beliefs, promoting the formation of ideal cardiovascular health behaviors and factors, and improving the treatment compliance.