社区卫生服务中高血压健康教育的效果与影响因素研究

目的：探讨社区卫生服务中高血压健康教育的效果及其影响因素。方法：2010年9月至2011年9月期间，赛罕区山丹社区的80例，在接受药物治疗的高血压患者，随机将其分为对照组（常规高血压教育）和观察组（个性化高血压健康教育），实施健康教育一年后，对两组干预前后收缩压、舒张压、治疗依从性，以及掌握教育内容等方面，进行观察和比较。同时，以年龄、性别、文化程度、家庭收入作为自变量，进行logistic回归分析，探讨其影响因素。结果：与对照组相比，干预后观察组治疗依从性和教育内容掌握度明显升高，收缩压和舒张压显著降低，P〈0．05，差异有统计学意义；年龄（≥40岁）和文化程度是影响教育效果的主要因素。结论：针对其影响因素，社区中规范化开展个性化的高血压健康教育，能够显著提高治疗依从性，有效控制血压水平。

The Effect of Health Education for Hypertension in Community Health Service and Related Factors

Objective： To study the effect of health education for hypertension in community health service and related factors. Method： The 80 patients during the treatment period from Sep. 2010 to Sep. 2011 in the Saihan District Shandan Community were randomized into the control group （ routine hypertension education） and the observation group （ personalized health education ）. After health education for one year, the systolic pressure, the diastolic pressure, treatment compliance and the education content master degree in two groups prior to treatment and post-treatment. Moreover, the age, gender, education and household income were the independent variable, the related factors were analyzed by the logistic regression analysis. Re- suit： Compared with the control group, the treatment compliance and the education content master degree in the observation group was obviously increased, the systolic pressure and the diastolic pressure were obviously decreased, P〈O. 05, There＇s statistic significance. The age （ 240 ） and the education degree were the main influence factors of the education effect. Conclusion： In view of the influence factors, the standardized and personalized health education for pretension can significantly improved the treatment compliance and effectively controlled the blood pressure.