【摘要】 目的了解甘肃省陇西县高血压、糖尿病人群防治现状,探讨慢性非传染性疾病(简称慢性病)管理干预模式,为贫困地区人群健康水平改善提供科学依据。方法按照随机原则将高血压、糖尿病人群分成干预组和对照组,通过建立系统的健康档案、集中管理、开展健康教育、行为干预、规范化治疗与随访管理等针对性的综合干预措施。结果干预组与对照组比较,吸烟、饮酒率明显下降,盐摄入量明显降低,高血压、糖尿病的控制率明显升高,经χ2检验差异均有统计学意义﹙均P<0.01﹚。同时干预组人群膳食构成与营养素摄入水平也有一定改善。结论采取适合贫困地区的慢性病健康管理综合干预模式对高血压、糖尿病的防治有非常重要的作用。更多还原

【Abstract】 Objective To understand the status of high blood pressure and diabetes management in the Longxi county of Gansu province, to investigate the intervention model for chronic diseases, and to provide the scientific evidence for improving health status in impoverished areas. Methods High blood pressure and diabetes population was divided into intervention and control group randomly, and established the health records of centralized management. Comprehensive intervention measures were implement including health education, behavior intervention, standardized treatment, and follow-up evaluation. Results The smoking and drinking rate, salt intake and control rate of high blood pressure and diabetes increased significantly(P<0.01) in the intervention group,in comparison to the control group. Moreover, the dietary pattern and nutrient intake of intervention group improved significantly, in comparison to levels before intervention. Conclusions The comprehensive intervention measures for health management of chronic diseases in impoverished areas play an important role in the prevention and treatment of diseases including high blood pressure and diabetes.更多还原