摘要
目的观察对社区中青年高血压高危人群进行系统化健康教育的效果。方法以邯郸市某社区卫生服务中心健康检查的132例中青年高血压高危人群为研究对象。实施以医院、社区、家庭联合的系统化健康教育和健康生活方式干预指导。1年后观察研究对象的高血压相关知识总体知晓率、健康行为总体持有率、血压水平和血脂指标的变化。结果经过1年的健康教育系统化干预,研究对象对高血压相关知识总体知晓率由干预前的59.1%提高到88.4%(P<0.01)、健康行为总体持有率由干预前的24.0%提高到84.3%(P<0.01)、收缩压[(127.3±9.3)mm Hg vs(123.5±9.2)mm Hg]及舒张压[(81.6±5.8)mm Hg vs(78.7±5.9)mm Hg]较干预前均有不同程度的下降(P<0.01),高血压发生率仅为3.0%。体质指数(BMI)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)检测指标改善均优于干预前(P<0.01)、高密度脂蛋白胆固醇(HDL-C)检测指标干预前后结果比较,差异无统计学意义(P>0.05)。结论对中青年高血压高危人群实施医院主导、社区和家庭共同参与的系统化健康教育,可提高该人群对疾病的认知,形成良好的健康行为,在疾病早期进行干预,有利于预防和控制高血压疾病,对有效降低心脑血管疾病的发病风险效果明显。
[Objective]To observe the effect of systematic health education for high risk population of hypertension among young and middle-aged people in a community.[Methods]132 young and middle-aged people at high risk of hypertension were selected for health examination in a community health service center in Handan City. The healthy lifestyle intervention guidance and systematic health education in hospitals,communities and families were implemented. The changes on awareness rate of hypertension related knowledge,health behavior holding rate,blood pressure level and blood lipid index were observed one year later.[Results]After one years of systematic intervention in health education,the awareness rate of hypertension related knowledge increased from 59.1% to 88.4% （P〈0.01）,the holding rate of healthy behavior increased from 24.0% to 84.3% （P〈0.01）,the systolic pressure [ （127.3±9.3） mmHg vs （123.5±9.2） mmHg] and diastolic pressure [ （81.6±5.8） mmHg vs （78.7±5.9） mmHg] decreased in varying degrees as compared with those before the intervention （P 〈0.01）,the incidence of hypertension was only 3.0%. The indexes of body mass index （BMI）,total cholesterol （TC）,triglyceride （TG） and low density lipoprotein （LDL-C） were better than those before intervention （P〈0.01）,and the difference in high density lipoprotein （HDL-C） before and after intervention was not statistically significant （P〈0.05）.[Conclusion]The systematic health education for the young and middle-aged people at high risk of hypertension with hospital leading,community and family participation can improve the knowledge of the disease and form the good health behavior. Intervention in the early stage of the disease is beneficial to the prevention and control of hypertension and is effective in reducing the risk of cardiovascular and cerebrovascular diseases.
作者
冯文霞
冯文海
FENG Wen-xia;FENG Wen-hai(First Department of Neurology,Handan Central Hospital,Handan Hebei,056001,China;Health Education Department Handan Center for Disease Control and Prevention,Handan Hebei,056008,China)
出处
《职业与健康》
CAS
2018年第20期2823-2826,共4页
Occupation and Health
基金
河北省医学科学研究重点课题计划(20171109)
关键词
中青年
高血压
高危人群
健康教育
干预效果
Young and middle-aged people
Hypertension
High risk group
Health education
Intervention effect
