An Analysis On The Effect And The Related Factors Of The Standardized Intervention For Hypertension At An Enterprise

Objectives1. To evaluate the effect of the standardized intervention for Hypertension in workplace including the indicators on the behavior related to hypertension intervention, clinical outcome, and the change trend of the blood pressure level.2. To comprehensively analyze the affecting factors of intervention effect.3. To gain the experience of the standardized intervention towards hypertensive people and to provide suggestions in workplace.MehodsAn enterprise in Guandu district of Kunming was selected as the experimental area, and quasi-experiment was conducted for the whole process of research design. The standardized intervention protocol for hypertension in workplace was adopted to evaluate the change situation of the risk factors and the effect of intervention after eight month’s experiment. And the factors related to the effect of hypertension management were evaluated to provide the experience of the standardized intervention of hypertension in workplace.ResultsAfter the standardized management, healthier behavior was showed than before, such as measuring blood pressure periodically, having enough vegetables and fruits, doing sports regularly, limiting the fat intake (animal fat and vegetable oil, etc.), and reducing the amount of average daily cigarettes and average weekly alcohol intake (P<0.001). There was statistical significance in systolic blood pressure (P<0.001), diastolic blood pressure (P＜0.001), status of treatment and control (P＜0.001) and waistline (P<0.05) between the intervention before and after. After intervention, systolic blood pressure and diastolic blood pressure were lower but status of treatment and control as well as waistline was higher. Status of awareness was raised to100%. There was no statistical significance in BMI between baseline and the sixth follow-up period.During the follow-up period, the tendency of blood pressure of study subjects showed an increasing decline in general, but there was a bit rising during the sixth interview.The multi-variable analysis showed such factors related to the standardized intervention for hypertension, including the baseline information of diastolic pressure, total ways of supervising the usage of drugs, the combined usage of drugs and risk stratification. The factors related to drug compliance including the income level and the ways of supervising the usage of drugs by their family member.Conclusion1. The intervention measures had a significant effect on making people measuring blood pressure periodically, having enough vegetables and fruits, doing sports regularly, limiting the fat intake (animal fat and vegetable oil, etc.), and reducing the amount of average daily cigarettes and average weekly alcohol intake.2. The intervention measures had significant effect on making the blood pressure decline steadily, and improving status of awareness, treatment and control, but it had little impact on the overweight, obesity and central obesity.3. The factors that affecting the intervention effect in that area were found by quantitative surveys, including the baseline information of diastolic pressure, total ways of supervising the usage of drugs, the combined usage of drugs and risk stratification. Among them, only the combined usage of drugs was a risk factor.4. The factors related to drug compliance include the income level and the ways of supervising the usage of drugs by their family member. Both higher income level and better drug supervising by families contributes to more drug compliance of patients.5. It had a good effect on the situation control of hypertension employees when we ran a standardized intervention in enterprises.