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社区实行高血压预防干预效果观察

Observation on the effect of hypertension prevention and intervention in community

Theory and Practice of Social Work / 2019,1(1): 7-14 / 2019-12-27 714 816

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• Authors: 代蓉
• Information:

  武汉市社区服务中心，武汉

• Keywords:
  community intervention; hypertension; prevention and treatment; effect
  社区干预; 高血压; 防治; 效果
• Abstract: Objective: To compare the prevention and treatment of hypertension in community before and after intervention. The awareness rate, treatment rate and blood pressure control rate of community residents about hypertension health awareness were used to evaluate the intervention effect of community hypertension. Methods: two community residents over 35 years old were randomly selected from three village committees within the medical scope of the hospital. One village committee was randomly selected for three-level community medical intervention of hypertension, and the other village committee was not involved in relevant medical intervention. The awareness rate, medication rate, pressure measurement rate, and backlog control rate of blood pressure were compared between the two groups The changes of blood pressure in group B were observed. Results: after community intervention, the poor life style of hypertension patients in the intervention area was significantly different from that in the control area (P < 0.05). The awareness rate, pressure measurement rate, medication rate and control rate of hypertension were significantly higher than those in the control area (P < 0.05). The mean blood pressure in the intervention area was significantly lower than that in the control area. Conclusion: community comprehensive intervention is an effective way to improve the prevention and treatment effect of hypertension patients. 目的：通过调查比较社区高血压防治干预前后。社区居民关于高血压 健康意识的知晓率及治疗率和血压控制率，以评价社高血压干预效果。方法： 随机抽取本医院医务范围内的三个村委中两个不同村委35 岁以上的社区居民， 随机抽取一个村委进行高血压的三级社区医疗干预，另一个村委不进行相关的 医疗干竣，分别对比两组干预过程中的商血压知晓率、服药率、及测压率，积 压控制率，对比干预后两组高血压患者血压变化情况。结果：实行社区干预后， 干预区社区居民高血压患者不良生活方式与对照区比较有明显差异（P<0.05）。 对高血压的知晓率、测压率、服药率、控制率均较对照区显著提高（P<0.05）。 干预区高血压患者平均血压显著低于对照区高血压患者平均血压。结论：社区 综合干预措施是提离高血压病人群防治效果的有效途径。
• DOI: https://doi.org/10.35534/tpsw.0101002c
• Cite: 代蓉．社区实行高血压预防干预效果观察［J］．社会工作理论与实务，2019，1（1）：7-14．