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目的探索社区高血压预防和控制的干预模式。方法与社区高血压患者签订契约,并进行为期3年的综合干预,比较干预前后患者的知晓率、控制率以及血压水平。结果高血压患者健康知识知晓率达到79.7%,规律服药率达到89.1%,血压有效控制率达51.3%;收缩压平均下降了10.83mmHg,舒张压平均下降了8.15mmHg,干预前后差异有统计学意义。结论以控制危险因素为基本手段,对高血压患者采取多方位干预,以签订契约为基本手段,改善患者的遵医行为,是控制患者血压的有效模式。
Objective To explore the community intervention model of prevention and control of hypertension. Methods A contract was signed with community-based hypertensive patients and a three-year comprehensive intervention was conducted to compare patients’ awareness rate, control rate and blood pressure before and after intervention. Results The awareness rate of health knowledge was 79.7%, the regular medication rate was 89.1% and the effective blood pressure control rate was 51.3%. The systolic blood pressure decreased by 10.83mmHg on average and the diastolic blood pressure decreased by 8.15mmHg on average. The difference was statistically significant . Conclusion Taking the control of risk factors as the basic measure, taking multi-directional intervention in patients with hypertension, signing the contract as the basic measure to improve the compliance behavior of patients is an effective way to control the blood pressure of patients.