宝山区社区高血压管理模式效果分析.pdfVIP

Health Education and Health Promotion Vol.3, No.4, Dec. 20, 2008 ·论著 · 宝山区社区高血压管理模式效果分析 张志萍 黄红儿 徐世源 【摘要】 目的 了解社区高血压患者的自我管理情况和对高血压患者危险因素的监控，提高社区高血压患者的血压 控制率，降低心脑血管疾病的发病率和死亡率。 方法 根据《中国高血压防治指南》的高血压定义和危险因素分层，对 社区 1 294 位高血压患者进行问卷调查及随访干预，对调查结果进行分析。 结果 经过 3 年的社区干预管理，血压水平 有了明显的下降，收缩压平均下降了 9.86mmHg ，舒张压平均下降了 9.31mmHg。高血压主要危险因素发生了明显变化， 吸烟、过量饮酒与不合理饮食（嗜盐）、超重等比例明显下降，而参加体育锻炼、遵医嘱正规服药、定期测血压等比例明 显上升；高血压的知晓率、治疗率、控制率有很大提高。 结论 本研究所运用的管理模式效果良好，有一定的推广价值。 【关键词】 高血压；社区管理；效果评价 Analysis of the Effects of Hypertension Control in Baoshan Community Zhang Zhi-ping ，Huang Hong-er, Xu Shi-yuan. Baoshan Center for Diseases Prevention and Control, Shanghai, 201901,China 【Abstract 】 Objective To comprehend the self-management of community patients with hypertension and monitoring the risk factors of the hypertension patients; enhance the control of patients’ blood pressure; reduce cardiovascular disease morbidity and mortality. Methods According to the Chinas prevention and treatment guidelines for hypertension, with the definition of hypertension and the stratification of risk factors, the survey was carried out on 1 294 community hypertension patients in Baoshan district, and follow-up intervention as well. The results have been analyzed. Results The results show that after three years the levels of blood pressure had dropped significantly under community control. The average systolic blood pressure decreased by 9.86mmHg. Diastolic blood pressure fell by an average of 9.31mmHg. The main risk factors of hypertension had changed markedly. For example, smoking, excessive drinking and unreasonable diet (halophilic), and overweight, etc. decreased in propo