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目的探讨对高血压患者实施健康促进对血压控制以及相关因素知晓率的影响。方法在上海市彭浦镇社区卫生服务中心内随机抽取2007年首诊高血压患者95名,对这部分高血压患者进行健康促进,1年后评价干预效果。结果通过近1年的健康促进,入选高血压患者对于高血压诊断标准知晓率、体育锻炼及遗传危险因素知晓率分别从57.89%、38.95%、57.89%上升到74.70%、60.00%、77.89%,上升了近20个百分点,尤其高血压患者血压控制水平在健康促进前后差异有统计学意义(P<0.01)。结论经过有计划的健康促进,高血压患者的自我保健意识增强,血压水平明显下降,提高了治疗的依从性,对预防并发症意义重大,值得推广。
Objective To investigate the effects of health promotion on blood pressure control and the related factors in patients with hypertension. Methods A total of 95 first diagnosed hypertensive patients in 2007 were randomly selected from community health service centers in Pengpu Town, Shanghai. The health promotion of this part of hypertensive patients and the intervention effect were evaluated one year later. Results The awareness rates of hypertension diagnostic criteria, physical exercise and genetic risk factors for selected hypertensive patients increased from 57.89%, 38.95% and 57.89% to 74.70%, 60.00% and 77.89%, respectively, over the past year. Up nearly 20 percentage points, especially in patients with hypertension blood pressure control level before and after the health promotion difference was statistically significant (P <0.01). Conclusions After planned health promotion, the self-care consciousness of hypertensive patients is enhanced, the blood pressure level is obviously decreased, and the compliance of treatment is improved, which is of great significance to the prevention of complications and worthy of promotion.