社区高血压俱乐部“1＋1”健康教育模式效果评价

目的 了解社区高血压俱乐部的干预效果。方法 通过近3年干预，对参加社区高血压俱乐部的338位成员进行干预前后的知、信、行比较，并单纯随机地抽取社区内非俱乐部高血压患100人作终期对照。对俱乐部成员在普及性健康教育基础上进行健康咨询和行为指导(即1 1模式)。结果 俱乐部成员接收健康信息以人际传播方式为主，成员的高血压相关知识较本底有了显性提高，对社区开展健康促进活动持正性态度明显提高。成员的体育锻炼、测量血压和控制食盐等高血压相关行为明显变化，血压控制率71．6％，较本底明显提高。成员的医患之间和病友之间的交流技能和意识明显增强。结论 俱乐部这种形式具有多种优点，有利于改变患的行为，防制慢性病。

Effectiveness of community hypertension club with 1+1 model

Objective To evaluate the effectiveness of hypertension club in community carrying out intervention on the 1+1 model. Methods 338 patients with hypertension joined a community hypertension club. Health education in the forms of lecture, exhibition, pamphlets, setting-up exercises, taiji boxing, etc.with emphasis upon interpersonal communication (1+1 model, including counseling and blood pressure measurement), was conducted for 3 years.By the end of 3 years, a questionnaire survey was conducted among 320 club members.One hundred hypertension patients-non-club members in the same community were randomly selected as controls. Results The club members obtained hypertension-related knowledge through following channels, mainly medical counseling (66.6%), lecture (65.0%), television (60.6%), periodicals (56.6%), propaganda column (51.3%), and radio broadcasting (37.2%), significantly more than that during the baseline survey.By the end of intervention, 96.2% of the respondents, in comparison with 75.4% during the baseline survey, knew well that there are multiple risk factors for hypertension (P<0.01. By the end of intervention 90.6% of the respondents, in comparison with 76.4% during the baseline survey, knew high-salt food is one of the risk factors for hypertension.The attitudes towards health promotion on hypertension were improved greatly.The proportions of those who had adopted healthy behaviors, such as having their blood pressure measured regularly, eating vegetables every day, and eating fruits every day, changing their temperament, etc.were increased significantly.61.0% and 37.4% of the club members regularly and occasional participated in the club activities.The factors that attracted the club members included free measurement of blood pressure (93.4%), counseling by doctors (87.7%), hypertension-related materials (70.4%), capability of participating in club activities (66.0%), and capability of communicating with others with the same disease (61.0%). Conclusion Community hypertension club with 1+1 model is effective on hypertension prevention.