摘要
目的 研究面向乡、村两级医疗机构全科医生的心血管病防治教育对新疆基层高血压知晓率、治疗率和控制率的影响,以探讨提高新疆基层高血压防治水平的有效途径。方法 在新疆全域随机选取4个县,其中2个县作为干预组,连续3年定期对全科医生开展心血管病防治知识的集中培训;另外2个县作为对照组,常规工作,不干预;3年后分别对其进行人群高血压流行病学调查,比较两组人群高血压的患病率和知晓率、治疗率、控制率的差异。结果 有无乡、村两级医疗机构全科医师培训的区域内高血压的患病率差异无统计学意义（36.95%比37.22%,P〉0.05）,但干预组的高血压知晓率（48.53%比31.14%）、治疗率（30.74%比26.54%）和控制率（15.95%比9.25%）高于非干预组（均P〈0.01）。去除混杂因素后的多因素Logistic回归分析显示,面向乡、村全科医生的心血管病防治教育是影响高血压知晓率（OR=1.71,95%CI 1.47~2.00）、治疗率（OR=1.23,95%CI 1.06~1.42）和控制率（OR=1.86,95%CI1.52~2.28）的重要因素（均P〈0.01）。结论 面向乡、村全科医生的心血管病防治教育能够有效提高新疆基层人群高血压的知晓率、治疗率和控制率,是提高当地高血压防控水平的有效途径和方法。
Objective To evaluate the effects of training the general practitioners at village- and town-level hospitals of rural area of Xinjiang about the prevention and treatment of cardiovascular diseases on the awareness, treatment and control rate of hypertension in order to explore effective ways to improve the management of hypertension. Methods Four counties of pastoral areas in Xinjiang were randomly chosen and divided into intervention and non-in- tervention group. General practitioners from counties of intervention group accepted three years of regularly train- ing course of cardiovascular disease management, while practitioners from non-intervention group remained as usual. Epidemiological research was conducted to compare the prevalence,awareness, treatment and control rate of hyper- tension and related risk factors between the two groups 3 years later. Results There was no significant difference in morbidity of hypertension between intervention and non-intervention groups （36.95% vs 37.22%, P〉0.05）, whereas intervention group showed significantly higher awareness （48. 53% vs 31.14%） treatment （30.74% vs 26.54% ） and control rates （ 15.95 % vs 9.25 % ） than non-intervention group （ all P〈 0.01 ）. Training of general practitioners on prevention and treatment of cardiovascular diseases was observed to be an important factor to influ ence awareness （OR = 1.71, 95 % CI 1.47-2.00 ）, treatment （ OR = 1.23, 95 % CI 1.06-1.42 ） and control rates （OR = 1.86, 95%CI 1.52-2.28） of hypertension （all P〈0.01） after adjusting for confounding factors in multivariate Lo- gistic regression analysis. Conclusion Training of general practitioners at village- and town-level hospitals of rural area on prevention and treatment of cardiovascular diseases is the effective way to improve awareness, treatment and control rates of hypertension and to control and prevent cardiovascular diseases in rural area of Xinjiang.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2015年第10期958-963,共6页
Chinese Journal of Hypertension
基金
新疆维吾尔自治区科技支撑计划项目资助(201333116)
关键词
高血压
全科医生
防治知识培训
知晓率
治疗率
控制率
Hypertension
General practitioners
Training on prevention and treatment
Awareness rate
Treatment rate
Control rate
