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社区卫生服务中高血压病的社区干预效果评价

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目的:探讨利用社区卫生服务中心对高血压患者进行社区干预措施的效果。方法选取2012年10月至2013年10月间安徽省天长市城南社区卫生服务中心收治的80例高血压患者,对其进行健康教育干预、心理干预、生活方式干预、服药干预和患者家属宣教等高血压社区干预措施,观察干预前后患者高血压相关知识知晓率、血压及相关代谢指标和不良生活习惯改变情况,对高血压社区干预的效果进行评价。结果干预后患者高血压相关知识知晓率明显高于干预前,差异均有统计学意义( P<0.05),干预后患者血压和代谢指标均低于干预前,各项代谢指标明显改善,差异均有统计学意义(P<0.05),干预后患者不良生活习惯发生率均低于干预前,差异均有统计学意义(P<0.05)。结论采取高血压社区干预措施,能加强社区卫生服务中心的管理作用,提高高血压患者对疾病的了解,有效控制患者的血压和各项代谢指标,使患者保持健康的行为习惯,提高了高血压患者的生活质量,值得临床推广应用。
Objective To explore effectiveness of the community interventions for patients with hypertension by use of community health service centers. Methods Selected eighty patients with hypertension from Tianchang South Community Health Service Center between October 2012 to October 2013, a systematical community intervention containing health education intervention, psychological intervention, lifestyle intervention, drug intervention and health education of family members of patients with hypertension were carried out in patients with hypertension, then the awareness rate of hypertension-related knowledge , changes in blood pressure and related metabolic parameters and changes in bad habits were observed and compared before and after the intervention to evaluate the effectiveness of hypertension on community intervention. Results The awareness rate of hypertension-related knowledge after the intervention was significantly higher than before the intervention, the differences were statistical y significant (P <0.05).The blood pressure and metabolic parameters after the intervention patients were lower than before the intervention, and various of metabolic parameters were improved significantly, the differences were statistical y significant (P <0.05). Patients with bad habits after intervention were lower than before the intervention, the differences were statistical y significant (P <0.05). Conclusion By taking hypertension community interventions can strengthen the management role of community health centers to improve understanding of the disease, the effective control of blood pressure and metabolic parameters, maintaining healthy habits , improving quality of life in patients with hypertension. So it is worthy of clinical application.

胡曜

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安徽省天长市天长街道城南社区卫生服务中心 239300

社区 卫生服务 高血压 社区干预 全科医师

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(14)
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