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目的探讨综合性干预对社区原发性高血压患者认知水平、态度、行为(KAP)和血压控制的作用。方法选择湖北省武汉市东西湖区常青花园社区卫生服务中心慢病重点人群管理册中的高血压现症病人202例,实施综合性干预,并在干预前后进行调查,对干预过程和结果进行评价。结果202例患者KAP得分分别由干预前的(13.45±5.46)、(18.11±2.82)、(21.84±3.70)分提高到干预后的(21.0±3.46)、(25.09±2.18)、(26.25±2.60)分。干预前高血压患者平均收缩压为(156.60±13.40)mmHg,舒张压为(97.29±10.21)mmHg;干预后平均收缩压为(135.16±9.84)mmHg,舒张压为(84.36±8.14)mmHg。干预前后高血压患者认知水平、态度、行为较干预前明显提高,血压控制率较干预前也有提高,差异均有统计学意义(P<0.05)。结论综合性干预是社区原发性高血压防治的重要干预措施和有效途径。
Objective To explore the effect of comprehensive intervention on cognitive level, attitude, behavior (KAP) and blood pressure control in community-based patients with essential hypertension. Methods Totally 202 hypertensive patients in Changqing Garden Community Health Service Center, Dongxihu District, Wuhan City, Hubei Province were recruited. Comprehensive interventions were conducted and investigated before and after the intervention to evaluate the intervention process and results . Results The KAP scores of 202 patients increased from (13.45 ± 5.46), (18.11 ± 2.82), (21.84 ± 3.70) to (21.0 ± 3.46), (25.09 ± 2.18) and (26.25 ± 2.60 )Minute. The average systolic blood pressure (156.60 ± 13.40) mmHg and diastolic blood pressure (97.29 ± 10.21) mmHg in patients with hypertension before intervention were (135.16 ± 9.84) mmHg and (84.36 ± 8.14) mmHg, respectively. Before and after intervention, the level of cognition, attitude and behavior of patients with hypertension were significantly higher than those before intervention, and the rate of blood pressure control also increased before intervention (P <0.05). Conclusion Comprehensive intervention is an important intervention and an effective way to prevent and control essential hypertension in community.