本文選題：高血壓　切入點(diǎn)：知識(shí)　出處：《安徽醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過藥物治療和健康教育相結(jié)合的方式對(duì)患者進(jìn)行干預(yù),評(píng)價(jià)綜合干預(yù)措施對(duì)原發(fā)性高血壓患者的認(rèn)知、態(tài)度、行為(KAP)和血壓控制的影響,為農(nóng)村地區(qū)高血壓的防治提供依據(jù)。方法:本研究采用前后自身對(duì)照的實(shí)驗(yàn)流行病學(xué)綜合干預(yù)方法,調(diào)查人員分別在研究對(duì)象入組時(shí)和綜合干預(yù)后從中國(guó)腦卒中一級(jí)預(yù)防(CSPPT)試驗(yàn)基地-連云港市東�？h和贛榆縣項(xiàng)目組中隨機(jī)抽取45周歲及以上原發(fā)性高血壓患者作為調(diào)查對(duì)象進(jìn)行問卷調(diào)查,并對(duì)患者進(jìn)行血壓、體重及身高的測(cè)量。獲得相關(guān)資料后,應(yīng)用Epidata3.1建立數(shù)據(jù)庫(kù),進(jìn)行雙錄入并檢錯(cuò),用SPSS16.0軟件對(duì)資料進(jìn)行描述性統(tǒng)計(jì)分析.結(jié)果:一、干預(yù)前后人口特征對(duì)比除年齡、婚姻狀況、收入水平前后對(duì)比有差異外,其余各項(xiàng)的差異均無(wú)統(tǒng)計(jì)學(xué)意義,其差異可能由于人口年齡的自然增長(zhǎng)和經(jīng)濟(jì)水平的發(fā)展導(dǎo)致。二、干預(yù)前后,大部分患者的體質(zhì)指數(shù)都處在超重和肥胖的范圍,患者的體質(zhì)指數(shù)前后對(duì)比差異無(wú)統(tǒng)計(jì)學(xué)意義。三、干預(yù)前后,患者高血壓知識(shí)來源排在前三位分別是醫(yī)務(wù)人員、家人朋友和廣播電視,通過其他途徑獲取高血壓知識(shí)的人僅占一小部分。四、當(dāng)?shù)馗哐獕夯颊逰AP總得分及格率、知識(shí)得分及格率、態(tài)度以及行為得分及格率,分別由干預(yù)前的50.2%、48.9%、48.1%、37.2%提高到89.0%、78.2%、93.2%、71.7%。五、干預(yù)前患者平均前收縮壓為(169±13.67)mm Hg、舒張壓(95.75±9.39)mm Hg,干預(yù)后平均收縮壓、舒張壓為下降為(147.78±17.27)mm Hg、(84.09±11.16)mm Hg,前后對(duì)比差異有統(tǒng)計(jì)學(xué)意義,將血壓控制在正常范圍內(nèi)的患高血壓患者比例也由干預(yù)前的11.5%上升為干預(yù)后的49.2%,在血壓仍偏高的患者中,Ⅰ、Ⅱ、Ⅲ級(jí)高血壓患者的比例也均有下降,分別由干預(yù)前的42.7%、43.5%、2.5%下降為40.7%、9.8%、0.3%。六、高血壓患者對(duì)高血壓的知曉率、治療率和控制率分別由干預(yù)前的67.3%、44.2%、11.5%提升到了96.3%、88.5%與49.2%。七、干預(yù)后與干預(yù)前相比,除吸煙在干預(yù)前后差異無(wú)統(tǒng)計(jì)學(xué)意義外(P0.05),患者的高血壓知識(shí)、態(tài)度、行為改變以及高血壓的控制均取得了令人滿意的效果,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:以健康教育、生活方式干預(yù)和藥物治療相結(jié)合的三級(jí)綜合管理干預(yù)模式對(duì)提高人群高血壓KAP水平、改變不良生活行為、提高患者的依從性、治療率和控制率,不僅是有效的,而且是切實(shí)可行的。為進(jìn)一步控制高血壓,預(yù)防腦卒中等心腦血管疾病的發(fā)生,我們應(yīng)繼續(xù)加強(qiáng)對(duì)居民健康教育,普及高血壓知識(shí),因地制宜的制定適合農(nóng)村居民的高血壓防控措施,有效地改善農(nóng)村地區(qū)高血壓人群的健康狀況。
[Abstract]:Objective: to evaluate the effects of comprehensive intervention measures on cognition, attitude, behavior and blood pressure control in patients with essential hypertension through the combination of drug therapy and health education. Methods: in this study, the experimental epidemiology comprehensive intervention method was used to prevent and cure hypertension in rural areas. The investigators randomly selected essential hypertension patients aged 45 and above from the CSP PTT trial bases of China's primary stroke prevention group, Donghai County and Ganyu County, Lianyungang City, respectively, when the subjects were enrolled in the study group and after comprehensive intervention. A questionnaire survey was conducted for the subjects, After obtaining the relevant data, we use Epidata3.1 to set up a database, to do double input and error detection, and to use SPSS16.0 software to analyze the data. The results are as follows: 1. Before and after intervention, there were no significant differences in population characteristics except age, marital status and income level. The differences may be due to the natural growth of population age and the development of economic level. Before and after intervention, the body mass index of most patients was in the range of overweight and obesity, and there was no significant difference in body mass index before and after intervention. Third, before and after intervention, the first three sources of knowledge of hypertension in patients were medical personnel. Family, friends, radio and television, only a small proportion of people get knowledge of hypertension through other means. Fourth, the local hypertension patients total KAP score pass rate, pass rate of knowledge score, attitude and behavior score pass rate, The mean systolic pressure before intervention was 169 鹵13.67 mm Hg, diastolic pressure 95.75 鹵9.39 mm Hg, and after intervention the mean systolic pressure and diastolic pressure decreased to 147.78 鹵17.27 mm Hg and 84.09 鹵11.16 mm Hg, respectively. The proportion of patients with hypertension who controlled blood pressure within normal range also increased from 11.5% before intervention to 49.2 after intervention. Among the patients with high blood pressure, the proportion of patients with grade 鈪，

本文編號(hào)：1587945