摘要
目的了解社区卫生服务中心对高血压患者开展健康管理的具体做法,评价与分析干预效果并提出完善建议。方法采用系统抽样方法抽调400人作为研究对象,评价与分析对其开展社区健康干预的效果。结果干预前后血压下降差异有统计学意义;干预前与干预后1年研究对象坚持锻炼指标差异无统计学意义,合理饮食、控制体重和药物依从性3项指标干预前后差异有统计学意义;受教育程度、是否合并其他慢性病以及是否规律服药为血压控制达标的影响因素。结论政府应加大利民卫生政策的颁布与实施,促进居民健康改善;加强对能够胜任社区慢性病健康干预工作的适宜人才的培养;提高对社区规范化管理考核的科学性。
OBJECTIVE To understand the practices and evaluate the effectiveness on community health management of hypertension patients,and propose suggestions on improvement of this system.METHODS Select 400 people as research objects via systematic sampling method and evaluate the effect of community health intervention.RESULTS The decrease in blood pressure after intervention was significantly different;The difference of the indicator of insisting on exercise is not significant and the difference of the indicators of proper diet,weight control and medication compliance are significant before intervention and 1 year after the intervention;The level of education,whether suffering from other chronic diseases and whether administer the medicine regularly are influential factors of blood pressure controlling result.CONCLUSIONS The Government should increasing enforce health policies beneficial to people so as to improve health conditions of the general public;Strengthen the human resources training of personnel who are capable to the community health management of people with chronic disease;Improve the scientificity of assessment of standardized management of the community.
出处
《中国初级卫生保健》
2011年第8期35-37,共3页
Chinese Primary Health Care
关键词
高血压
社区健康管理
效果
评价
hypertension
community health management
effect
evaluation