摘要
目的对适合在家庭康复的高血压群体实施分层随访干预,旨在控制病人血压水平,探索家庭慢性病综合防治模式的可行性。方法将肃南裕固族居民185例病人随机分为对照组和试验组,对照组实施常规家庭干预,试验组按病人近3个月血压水平和心血管病危险因素存在几率预测疾病的预后及危险性,制定分组干预指标,规律而又连续地给予不同分组的随访干预措施。结果两组病人干预后高血压相关知识知晓率、遵医率、心脑血管病危险因素发生频数和血压控制率变化显著(P<0.01),试验组在不同随访阶段病人的收缩压和舒张压变化存在统计学差异(P<0.01)。结论规律而连续的分层随访干预模式可以提高病人血压控制率和知识知晓率,降低心血管病危险因素发生率,是改善高血压病人生活质量有效的、可行的家庭综合防治手段。
OBJECTIVE To carry out stratified follow-up intervention of hypertension in family is to control blood pressure levels to explore the feasibility of family integrated control of chronic diseases.METHODS 185 cases Yugu population in Gansu,China,were randomly divided into control and test groups,control group receiving conventional family intervention,while experimental group predicting prognosis and risks of the disease according to nearly 3 moths＇ blood pressure and existing risk probability of angiocarpy to set grouping intervention target and give different grouping follow-up interventions regularly and continuously.RESULTS Awareness of hypertension-related knowledge,compliance rate,and cardiovascular risk incidences change significantly（P0.01）;for test group,the change of systolic and diastolic blood pressure exists statistical difference at different stages of follow-up（P0.01）.CONCLUSION Regular stratified follow-up family intervention,is effective on reducing the incidence of cardiovascular risk factors,meanwhile,improving awareness,blood pressure control and the quality of hypertensive patients＇ life.
出处
《中国初级卫生保健》
2011年第8期88-90,共3页
Chinese Primary Health Care
关键词
裕固族
高血压
随访干预
Yugu
hypertension
follow-up intervention
