【摘要】 目的　评价社区医患互动式健康教育对高血压的防治效果。方法　对汝南县社区内自愿报名参加高血压患者健康俱乐部的 2 4 0名会员进行健康教育 ,1年后总结干预效果。结果　经过干预 ,高血压患者收缩压 (SBP)和舒张压 (DBP)水平与干预前比较差异有非常显著性意义 (P <0 0 1) ,整体血压水平SBP下降了 11 9mmHg,DBP下降幅度为 3 6mmHg,基线血压异常者SBP下降了 17 4mmHg ,DBP下降幅度为 5 7mmHg。血压控制率从35 8%上升到 6 5 0 %。高血压判断标准知晓率由干预前 19 6 %上升到 6 5 8% ,与干预前比较差异有非常显著性意义 (P均 <0 0 0 1)。其生活方式 (遵医行为、体育锻炼、低盐饮食、戒烟戒酒 )较合理。结论　规范定期的健康教育可以显著提高高血压患者对高血压相关知识的知晓率 ,改善高血压患者不良习惯 ,新型医患模式有利于健康教育、健康知识普及和取得治疗成效。更多还原

【Abstract】 Objective To evaluate the intervening effect of doctor-patient health education on hypertension.Methods Voluntary patients in hypertension health club in Runan community heath service center were given health education.After a year,the effects of community-based intervention on hypertension were analyzed and summarized.Results After intervention,there was more evident difference in SBP and DBP of patients with hypertension than before intervention (P<0.01).General means of both SBP and DBP remarkably decreased by 11.9 mm Hg and by 3.6 mm Hg.The patients whose blood pressure were above normal had a remarkably decreased than before by 17.4 and 5.7 mm Hg.Rate of awareness for the diagnostic criteria of hypertension increased by19.6%to 65.8%.Rate of hypertension being under control increased from 35.8% to 65.0%,there was significant difference from before intervention (P<0.001),and the patients′ life styles -including drug compliance,physical exercises,less salt intake,etc.were better than before.Conclusion Regular and periodic health education could improve their awareness of hypertension knowledge and change their unhealthy behavior for the hypertensives.New doctor-patient model is good for health education,healthy knowledge popularizing and obtaining better curative effect.更多还原