【摘要】 目的 评价社区护理健康教育对高血压的防治效果。方法 选取汝南县社区内高血压患者260名作为干预对象，根据健康教育标准进行健康教育，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)下降显著(P<0.01)，整体血压水平SBP下降了11.6mmHg(1mmHg=0.133kPa)，DBP下降幅度为2.4mmHg，基线血压异常者SBP下降了17.0mmHg，DBP下降幅度为4.0mmHg。血压控制率从41.15%(107/260)上升到63.85%(166/260)。高血压判断标准知晓率由干预前的21.5%上升到68.1%，显著高于干预前(P均<0.001)。其生活方式(遵医行为、体育锻炼、食盐量、戒烟戒酒)较好。结论 规范定期的护理健康教育可以显著控制高血压患者的血压，提高高血压患者对高血压相关知识的知晓率，改善高血压患者的不良习惯。

    关键词 健康教育 高血压 社区防治

    Analyses on the effect of community health education on hypertension

    MengYanli

    Department of Cardiology，Runan People’s Hosptial，Henan463300.

    【Abstract】 Objective To evaluate the effect of the community health education on hypertension.Methods Voluntary patients with hypertension in Runan community heath service center were interfered.After a year，the effect of community based intervention on hypertension were analysed.Results General means of both SBP and DBP remarkably decreased by11.6mmHg and2.4mmHg in patients with bypertension(p<0.01).In patients whose blood pressure were above normal general means ofboth SBP and DBP had a remarkably decreased by17.0mmHg and4.0mmHg than before(P<0.01).Rate of awareness for the diagnostic criteria of hypertension increasedfrom21.5%to68.1%(P<0.001).Rate of hypertension being under control increased from41.15%to63.85%(P<0.001).And the patients life styles such as drug compliance ......