上海市某社区高血压高危人群综合干预效果评价

吴小琼; 马春来; 沈育华; 程红梅; 邵明凤; 黎衍云

doi:10.19428/j.cnki.sjpm.2018.18488

上海市某社区高血压高危人群综合干预效果评价

Effect assessment of comprehensive intervention in high-risk hypertensive population in a community of Shanghai

摘要

摘要:
目的评价上海市社区高血压高危人群综合干预实施效果，为在社区推广、开展干预提供依据。
方法于2015年10至2017年2月，对上海市青浦区徐泾社区招募200名高血压高危人群实施综合干预。对干预前后高血压健康知识、不良生活行为进行问卷调查，进行体检和实验室检测。
结果经过15个月干预，高血压高危人群对高血压知识知晓状况明显提高，血压、血糖、血脂、血尿素氮以及血肌酐水平明显改善，体质指数(BMI)均值及肥胖、每日食盐摄入量、高盐膳食以及缺乏有氧运动的比例均明显下降，降幅分别为0.45、5.5%、0.45 g、10.5%和22.0%(P < 0.05)；吸烟、过量饮酒干预前后无明显变化；超重比例干预后较干预前上升5.5%(P < 0.05)。
结论综合干预可以提高高危人群高血压知识的知晓率，改善健康水平，控制高血压行为危险因素。

Abstract:
ObjectiveTo evaluate the effects of comprehensive intervention among high-risk population of hypertension in Xujing community, Shanghai, and to provide evidence for promoting intervention in communities.
MethodsA total of 200 volunteers with high-risk of hypertension from Xujing Community in Shanghai were included in a comprehensive intervention program for high-risk population of hypertension.Hypertension knowledge awareness, healthy behaviors and health status in the participants before and after the comprehensive intervention were investigated by using structured questionnaires, physical examination, at the same time.
ResultsAfter 15 months′ intervention, the high-risk population had a wealth of knowledge of hypertension, and the average fast blood glucose, blood pressure, blood lipid, urea nitrogen and blood creatinine were obviously improved.After the intervention the proportions of high-salt consumption decreased, as well as the rates of obesity and lack of aerobic exercise decreased by 5.5%, 10.5% and 22.0% respectively, the average value of BMI and daily salt intake decreased by 0.45 and 0.45 g (all P < 0.05), and the proportion of overweight increased by 5.5% (P < 0.05).
ConclusionCommunity-based comprehensive intervention for hypertension is beneficial to development of healthy life habits.

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