开封市社区高血压病综合干预效果评价

目的探讨社区综合防治措施对高血压病控制率、血压水平和知识态度行为的影响。方法对开封市顺河回族区某社区卫生服务中心管理的650例高血压病患者进行综合干预，比较血压控制率、血压水平和知识态度行为在干预前后的变化率。结果实施综合防治措施后，血压控制率由18．77％提高到41．07％（P〈0．05），血压水平有所下降（P〈0．05），有过量饮食、吸烟、缺乏体力活动、不合理膳食等不良行为的患者比例下降（P〈0．05）。结论社区卫生服务中心实施高血压病规范化管理，对提高患者的血压控制率是一种行之有效的管理模式。

Evaluation of intervention measures on hypertension in communities in kaifeng

Objective To explore the effect of community comprehensive prevention and control measures on hypertension control rates,blood pressure levels and behaviors. Methods Comprehensive intervention measures were implemented in 650 patients with hypertension in some community of Shunhe Hui District in Kaifeng.The changes in the control rate of blood pressure,blood pressure rate and behavior were compared prior to and after intervention. Results After implementing the comprehensive intervention measures,the control rate of blood pressure increased from 18.77% to 41.07%（P 〈 0.05）, the blood pressure levels decreased（P 〈 0.05） and the proportion of patients with unhealthy lifestyle such as overeating,smoking, lack of physical activity,unbalanced diet decreased（P 〈 0.05）. Conclusion Standardization management of hypertension in community health service centers is very effective in improving the blood pressure control rate of patients.