摘要
目的：探讨居民健康素养综合干预对糖尿病合并高血压的治疗效果，为临床干预措施的实施提供参考。方法随机抽取1684例社区居民为研究对象。以健康讲座、一对一咨询、发放健康手册等方式对居民实施健康素养综合干预。对比居民综合干预前后的《中国公民健康素养调查问卷》调查结果，并调查居民糖尿病、高血压知晓率，对比综合干预前后高血压、糖尿病的知晓率、规范治疗率以及血压、血糖的控制率。结果经过综合干预后，居民的健康基础知识和理念的比例为81．94％，健康生活方式和行为的比例为82．18％，健康技能的比例为81．77％，健康素养为54．98％，均显著高于综合干预前，差异均有统计学意义（χ^2＝17．88、90．67、193．72、413．88，均P＜0．05），；高血压的患病人数为537例，患病率为31．89％。高血压患病居民经过综合干预后，高血压的知晓率为64．06％，规范治疗率为51．02％，血压控制率为35．01％，均显著高于综合干预前（χ^2＝67．93、24．85、30．66，均P＜0．05）；糖尿病的患病人数为269例，患病率为15．97％。糖尿病患病居民经过综合干预后，糖尿病的知晓率为78．07％，规范治疗率为60．97％，血糖控制率为37.17％，均显著高于综合干预前（χ^2＝68．78、6．33、17．48，均P＜0．05）。结论居民健康素养综合干预是提高居民健康素养的有效措施，而健康素养的提高有利于高血压、糖尿病患者血压、血糖指标的控制，对促进高血压、糖尿病病情的控制有积极的意义。
Objective To investigate the comprehensive intervention residents health literacy with the thera-peutic efficacy of hypertensive patients on diabetes,and to provide a reference for the implementation of clinical inter-ventions.Methods 1 684 cases of community residents were selected as the research objects.Lectures on health,one on one counseling,health manuals mode on the implementation of comprehensive intervention residents health litera-cy.Comparison of the residents after comprehensive intervention ＂China citizen health literacy questionnaire＂survey results,and the awareness rate of diabetes,high blood pressure,diabetes hypertension compared after comprehensive intervention,the awareness rate,treatment rate and control rate of blood pressure,blood glucose were investigated. Results After comprehensive intervention,the basic knowledge and concept healthy residents of the ratio of 81.94%,healthy lifestyle and behavior of the ratio of 82.18%to 81.77%the proportion of health,skills,health liter-acy was 54.98%,which were significantly higher than those of intervention,the difference （χ^2 =17.88,90.67, 193.72,413.88,all P〈0.05）;the number of patients of hypertension in 537 cases,the incidence was 31.89%.The prevalence of hypertension in residents after comprehensive intervention,the awareness rate was 64.06%,the stand-ardized treatment rate was 51.02%and the control rate of hypertension was 35.01%,which were significantly higher than those of intervention（χ^2 =67.93,24.85,30.66,all P〈0.05）;prevalence of diabetes in 269 cases,the inci-dence was 15.97%.The prevalence of diabetes in residents after comprehensive intervention,the awareness rate of diabetes was 78.07%,standardized treatment rate was 60.97%,the blood sugar control rate was 37.17%,which were significantly higher than those of intervention（χ^2 =68.78,6.33,17.48,all P〈0.05）.Conclusion The comprehensive intervention residents health literacy is the effective measures to improve the residents＇health literacy and health liter-acy,im
出处
《中国基层医药》
CAS
2015年第8期1190-1193,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
健康素养
综合干预
糖尿病
高血压
Health literacy
Comprehensive intervention
Diabetes
Hypertension
