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1、高血壓病患者社區(qū)健康教育效果評(píng)估王翠蓉路云包曉紅(攀枝花學(xué)院醫(yī)學(xué)院,四川省、攀枝花617000)E-mail:329732568@qq.com【摘要】目的:評(píng)估社區(qū)高血壓病健康教育在改善患者生活方式、膳食結(jié)構(gòu)、血壓水平中的效果。方法:對(duì)118例高血壓病患者進(jìn)行為期兩年的健康教育,比較健康教育前后患者在生活方式、膳食結(jié)構(gòu)、血壓水平的差異。結(jié)果:健康教育使高血壓患者不吸或少吸煙率由82%提高到98%,生活規(guī)律率由72%提高到90%,限制飲酒率由80%提高到92%,情緒穩(wěn)定率由71%提高到89%,膳食結(jié)構(gòu)合理
2、率由55%提高到90%,堅(jiān)持適量運(yùn)動(dòng)率由49%提高到90%,規(guī)范治療率由25%提高到95%,且差異均有顯著性(P<0.001)。高血壓病患者健康教育后粗糧、乳類、魚禽類、豆制品和蔬菜類的攝入量增加(P<0.05),細(xì)糧、畜肉、烹調(diào)油、食鹽、酒精的攝入則相應(yīng)減少(P<0.05),蛋類和水果的攝入量沒有明顯變化(P>0.05)。健康教育后收縮壓和舒張壓均較健康教育前明顯下降(P<0.001)。結(jié)論:健康教育可有效改善高血壓病患者生活方式、膳食結(jié)構(gòu)、血壓水平,對(duì)高血壓病的防制有非常積極的作用?!娟P(guān)鍵詞】社區(qū);
3、髙血壓;健康教育AssessmentontheeffectofHealthEducationinHypertensionPatientsWangCuirong,LuYun,BaoXiaohong(MedicalCollegeofPanzhihuaUniversity,Panzhihua,Sichuan,617000)【Abstract】Objective:Toassesscommunityhealtheducationofhypertensionpatientsinimprovingthelifesty
4、le,diet,bloodpressurelevelintheresults.Method:Atwo-yearspanhealtheducationto118patientswithhighbloodpressurewascarriedon,andthecomparisonintheirlifestyle,dietstructureandthelevelofbloodpressurewasmade.Results:Thehealtheducationmadethepatientsnotsmokeorsm
5、okeless,therateofwhichwasraisedfrom82%to98%,andalsomadetherateofregularlifestyleincreasefrom72%to90%,therateoflimitingalcoholconsumptionfrom80%to92%,emotionalstabilityratefrom71%to89%,therateofreasonabledietstructurefrom55%to90%,therateofadheringtoregula
6、rexercisesfrom49%to90%,therateofStandardtreatmentfrom25%to95%,andthedifferencesweresignificant(P<0.001).Afterthehealtheducation,theintakeofcoarsegrains,dairy,fish,poultry,beanproductsandvegetableincreased(P<0.05),theintakeofflourandrice,meat,cookingoil,s
7、alt,alcoholdecreased(P<0.05),theintakeofeggsandfruitdidnotchangesignificantly(P>0.05),andsystolicpressureanddiastolicpressureobviouslydropped.Conclusion:Healtheducationcaneffectivelyimprovetheirlifestyle,dietstructureandthelevelofbloodpressure,andhaveana
8、ctiveeffectontheprecautionagainsthighbloodpressure.【Keywords】Community;Hypertension;Healtheducation高血壓病是最常見的心血管柄,是全球范圍內(nèi)的秉大公共衛(wèi)生問題。2002年中國(guó)店民營(yíng)養(yǎng)與健康狀況調(diào)查結(jié)果顯示:我國(guó)18歲及以上Whi髙血壓患病率為18.8%,估計(jì)全國(guó)患病人數(shù)1.6億多,城鄉(xiāng)差距己不明顯,我國(guó)人群高血壓知曉率為30.2%,治療率為24