高血压患者健康促进干预效果评价

目的 评价以社区为基础的健康促进策略对高血压人群知识，信念、行为水平的改善。方法 经过为期5年的健康促进策略实施，在干预区和对照区各随机抽取200名高血压患者，对他们的知识，信念和行为进行问卷调查。结果 干预组高血压患者的高血压防治知识知晓率达89.5%，健康生活方式形成率如体育锻炼率达到62.5%，服药率为87.5%，血压水平较对照组明显下降3.4-5.1mmHg。结论 健康促进策略对于控制高血压是有效的。     

宁波市江北区桃源社区高血压健康促进干预效果评估

高血压既是脑卒中、冠心病的主要致病因素．本身又是一个多因素所致疾病。它是全球范围重大的公共卫生问题，既存在于发达国家．也存在于发展中国家。2002年，对我国南、北方14个省、市的自然人群调查显示，我国高血压患病率已高达27．86％．这一数字让我国成为世界高血压危害最为严重的国家之一。社区作为高血压等慢性病综合防治工作的有效平台．是开展健康教育与健康促进．     

四川省苍溪县高血压防治健康促进效果评价

[目的]对四川省苍溪县高血压防治健康促进试点活动的效果进行评价.[方法]在对苍溪县健康促进试点村居民进行高血压防治知识健康教育的前后,采用自行设计的问卷对试点村居民进行高血压防治知识的知晓情况和相关行为改变情况现况调查.[结果]苍溪县健康促进试点村居民在健康教育开展前后知识、行为、态度均发生了明显改变,其中对高盐饮食、吸烟危险因素的认知情况,吸烟行为的改变等共7项差异有统计学意义（P＜0.005）.[结论]采用健康教育为主的干预措施提高了居民对高血压防治知识的知晓率,并使居民产生了行为改变.     

重庆市农村地区开展健康促进高血压干预的效果评价

目的 探索重庆市农村地区开展健康促进高血压干预的方法 ,提高村民的健康意识,促进村民的不良行为改变。方法 于2004—2006年对重庆市6个国家级贫困县（巫溪、酉阳、云阳、秀山、武隆、彭水）开展高血压相关研究。采取以点带面、点面结合的方法 ,在农村试点村开展社区诊断、社区动员、建立测血压制度、组织村民戒烟、对高血压患者进行管理等干预活动,采取社会学评估,用自身前后对照的方法 对干预前后的效果进行评价。结果 干预前医院医生主动为病人测血压的占28.5%,干预后测血压率达80%～99%,通过开展免费测血压活动,3a间6个项目县256个乡镇医疗机构累计发现高血压病人137822例,其中新发现高血压患者51505人。干预后试点村村民对高血压临床表现知晓率由干预前的2.0%提高到10.4%,对高血压危害知晓率从0.2%提高到8.7%,对定期测量血压知晓率从7.8%提高到97.6%。干预前村民主动测血压率为0%,干预后村民知道需定期测血压的占97.6%,有83.0%的村民主动测血压。干预前高血压患者吸烟（42.2%）、饮酒（45.1%）、喜咸食（54.9%）等在干预后得到了改善,分别为4.3%,5.4%,4.3%。干预前高血压患者能坚持每天服药占2.9%,间断服药占92.2%,未服药占4.9%,干预后分别为26.9%,73.1%,0%。结论 采取“以乡人民政府为龙头、以乡卫生院为技术支撑、以村卫生室为平台、以村委会为依托、以村规民约为约束”等措施,促进了健康促进高血压干预活动的开展,提高了村民的健康意识,促进了不良行为改变。通过为35岁以上人群提供免费测血压使高血压病人能及时得到早诊断早治疗早干预的服务。     

农村社区高血压综合干预措施效果评价

目的评价农村社区高血压综合干预措施的临床效果。方法以廊下社区万春村≥35岁362名高血压患者为对象，经过6个月的健康教育、改变不良生活习惯及药物治疗等措施综合干预，收集相关资料进行自身前后比较。结果本组高血压患者收缩压（SBP）和舒张压（DBP）的平均水平分别下降14．95mmHg和4．18mmHg，干预前后差异有统计学意义（P〈0．01）；高血压知晓率、治疗率及控制率分别由干预前的69．85％、61.79％、19．70％上升为干预后的91．04％、81.79％、45．97％，干预前后差异有统计学意义（P〈0．01）。结论农村社区高血压综合干预措施效果肯定，应在已有基础上予以坚持和改进。     

三位一体机制下H型高血压健康管理模式效果评价

目的:通过观察试验对三位一体几只虾的H型高血压的健康管理模式进行观察并总结出临床效果.方法:根据我院治疗时间为2018年10月起由2019年10月截止的患者,且均为本院收治确诊为H型高血压的患者中进行筛选,最终筛选患者例数为120例,确认例数后进行对比法,开始观察效果,具体方法如下;j将120例患者不计资料打乱,然后集...     

高血压社区健康促进实践与评价

原发性高血压是严重危害人群健康的常见病,也是脑卒中、冠心病的主要病因[1],目前上海市区社区35岁及以上人群的高血压患病率高,预防与控制原发性高血压是控制心脑血管疾病流行的重要任务.为此,我们在社区原发性高血压的综合预防工作中,尝试通过社区的健康促进干预,来控制导致高血压发病增加的行为危险因素,从而控制高血压的发病上升趋势和推迟高血压的发生.     

高血压健康促进策略

高血压病是一个医学问题 ,更是一个社会问题 ,解决高血压病问题决非仅仅是卫生部门的事 ,需要有政府的承诺、多部门的合作和群众的积极参与。高血压的防治不是以病人为基础 ,而是以社区作为载体开展的综合性防治 ,把心脑血管疾病的防治结合起来 ,制定高血压防治的健康促进规划     

健康促进干预对门诊高血压患者依从性的影响

目的：了解健康促进干预对门诊高血压患者依从性的影响。方法：将门诊80例高血压患者随机分为实验组和对照组,对实验组实施健康促进干预,门诊复诊时进行问卷调查。结果：实验组的门诊高血压患者的依从性明显高于对照组（P〈0.01）。结论：对门诊高血压患者实施健康促进干预可提高高血压患者的依从性。     

高原农牧民健康促进及高血压社区干预基本模式探讨

高血压是全球最常见的危害人类健康的公共卫生问题之一。青海省卫生Ⅷ项目健康促进自2003年以来部分项目县开展了高血压干预，干预对象包括高危人群(存在以下4种特征之一者：有高血压家族史，体质指数BMI≥25，血压水平在130～139／85～89mmHg，吸烟、酗酒人群和年龄超过35岁以上一般人群。     

健康促进理论在社区中的应用

健康促进是社区医疗保健服务的重点内容之一。作者详细介绍了健康促进的基本概念及理论基础，分析了其与疾病预防的区别。提出个体认知、修正因素及行动的可能性是影响个体接受执行建议性健康行为的因素。同时，作者运用健康促进理论，对社区中老年女性乳腺的普查执行情况进行了具体分析。认为帮助个体增强对疾病的认知、利用媒体宣传等外在因素的影响以及提供方便周到的医疗服务，可促进全民的健康水平，降低恶性肿瘤的死亡率。     

Researching the implementation of community mental health promotion programs

Understanding the process of program implementation plays a critical role in advancing research, practice and policy in mental health promotion. This paper focuses on the implementation of community mental health promotion and considers the challenges presented in implementing and evaluating complex, multifaceted interventions carried out in the context of dynamic community settings. The Rural Mental Health Project1–3 is presented as a case study to illustrate the practical and research challenges encountered in implementing and evaluating a community mental health promotion initiative. This case study highlights the factors that contributed to the successful implementation and evaluation of a community‐based intervention for rural communities on the border region in the Republic and Northern Ireland. Among the factors identified are: a partnership model of working; local co‐ordinating structures and consultation mechanisms; use of a structured planning model to guide program planning and implementation; mobilisation of cross‐community and inter‐agency support; and a comprehensive logic evaluation framework to assess the input, process, impact and outcomes of the project as it unfolded.     

职业危害的干预效果研究

目的评价职业健康危害的干预效果,为今后有效地开展职业健康促进提供科学依据。方法选择某汽车制造公司中接触健康有害因素的现场作业人员,对其实施综合性健康促进干预,对比干预前、后目标人群的职业卫生知识、认知情况,作业环境和职工健康状况的改善情况。结果干预后,作业者职业卫生知识知晓率由干预前的51.91%提高到81.45%,但对岗位职业危害的认知情况仍然不高;作业环境的几种主要指标的达标率均接近或超过90%;除听力损失外,反映健康状况的其他指标的达标率绝大多数超过了97%。结论综合性的职业健康促进干预措施能够有效地控制作业环境中存在的职业健康危害因素,职业性紧张和岗位危害的防护应成为今后优先考虑的问题。     

昆山市张浦镇农村社区高血压病健康教育效果研究

目的:评价农村社区高血压病的健康教育效果.方法:选取昆山市张浦镇2个自然村,于2007年始对社区高血压病例采取规范系统的疾病管理措施,包括多种形式的健康教育内容.在实施规范管珲干预前和1年后,采用问卷和体格检查.分别获取被管理病例对于防治高血压相关的知识、态度和行为的资料.结果:干预后高血压基本知识知晓率(55.94%～90.91%)显著高于干预前(44.1l%～75.21%)(P0.05).结论:在农村社区开展针对性的高血压相关知识的健康教育,对于高血压群体接受综合性规范治疗的遵医行为依从性具有一定作用.     

School-based community development as a health promotion strategy for children

In this paper we discuss our experience of engaging 9–10-year-oldchildren in grade 4 in a community development process to dealwith community health problems they consider important. Withguidance from a facilitator, young children can work cooperativelyto identify problems, set priorities, and design and implementactivities to address a community health issue. They can reflectupon their actions and the process within which they have workedand can realize that the process can be applied to the resolutionof other community problems. However, children's levels of cognitiveand social maturity and their position in society present specialissues for the use of community development as a health educationstrategy     

Influence of health promotion bureaucracy on community participation: a Canadian case study

The purpose of this paper is to illustrate, through a Canadian case study, the bureaucratic support and obstacles for community participation in health promotion. The paper begins with a brief history of the development of a participatory health promotion programme in Canada. The role of bureaucracies on participation of communities is highlighted. Secondly, the paper describes how a variety of bureaucratic factors affected grassroots community participation efforts of local projects in one province. Finally, discussion focuses on how community participation is constrained in a bureau-cratically mediated activity such as health promotion.     

高血压患者系统性健康管理效果评价

目的通过对烟台市某社区270名高血压患者进行系统性健康管理,并从认知、行为状况、生活质量3个方面的得分情况进行统计分析,以评价系统性健康管理模式对高血压患者的干预效果。方法随机选取烟台市某社区高血压患者270名,分为干预组(135人)和对照组(135人),两组均逐一填写基线调查问卷。然后对干预组实施为期12个月的系统性健康管理(包括健康教育干预、运动方式干预、生活方式干预和药物干预),干预后,两组患者再次填写与基线调查一样的问卷。结果干预前后两组患者认知评分变化值比较有统计学意义(t=7.9652,P<0.01),干预前后两组患者行为评分变化值比较有统计学意义(t=2.69,P<0.05),干预前后两组患者行为评分改变值均值比较有统计学意义(t=-3.7825,P<0.05)。结论对高血压患者进行的系统性健康管理是一种新型有效的干预模式,它不仅在提高患者对高血压知识知晓率、健康行为的依从性等方面具有重要意义,而且在提高患者生活质量方面有着广阔前景。     

The Wellness Guide: towards a new model for community participation in health promotion

This paper describes how community participation came to playa central role in developing the Wellness Guide Project, a majornew health promotion initiative of the State of California.The Guide itself was to be a simple document that would giveinformation on how to stay well and where to find help on health-relatedtopics. It was to be sensitive to the needs of people of allethnic and social backgrounds, and suitable for distributionto all households in the State (10 million). The metamorphosisof the Guide is described, from early drafts, prepared by healthand welfare specialists and covering traditional behavioralrisk factors, to the final product, a large-format, illustrated80-page book, written with diverse community involvement, andaddressing a wide range of personal and social topics. Telephonecompanies and information and referral services participatedin developing a cross-referral system from the Guide to new‘Community Services’ listings in phone directoriesthroughout the State. The community also participated in preparinga Spanish adaptation of the Guide. The project outcomes—aunique health education document, a novel referral system, andthe beginnings of a new model for community participation inhealth promotion—are discussed.     

Sustaining an intervention for physical health promotion in community mental health services: A multisite case study

There is a growing body of literature on sustainability, but its definition and the factors that affect it are not well understood. This paper focuses on the sustainment of health promotion interventions in community mental health organisations, where the institutional context has been found to play an important role. Normalisation Process Theory (NPT) was used to characterise the extent of sustainment of health promotion interventions and to identify important factors that influence it. The study builds on a previously reported qualitative multiple case design focusing on four Danish community mental health organisations. We aimed to include cases (provider organisations) with varied political‐administrative contexts that were expected to impact sustainment. Data included 27 semistructured interviews with managers and frontline staff. The analysis adopted a thematic approach combining within‐case and cross‐case analysis. One important factor contributing to sustainment was the high degree of coherence generated during and after implementation. Perceptions of meaningfulness and formal tools for external accountability such as municipal activity plans also stimulated the cognitive participation of management and staff in sustaining the intervention. On the practical level of collective action, working with health promotion in a continuous way was particularly supported by two formal tools: internal health policies and municipal activity plans. Sustainment was further aided by reflexive monitoring based on ongoing informal assessments, supplemented by information required for status reports to the municipality on individual users and information from the annual individual user health checks. Future studies should adapt NPT to a broader range of cases to assess more thoroughly its contribution to the literature on sustainment. Future interventions need to pay closer attention to securing continuous and active local management support as well as to political‐administrative contexts as potential external drivers of sustainment.