| Objective To explore the KAP intervention effect of health education on physical examination in patients with hypertension, provide the basis for the incidence rate of hypertension to reduce the risks of cardiovascular disease.Methods By the way of cluster sampling, from the health examination center of Tangshan City People's hospital to receive a medical examination of 12 units, a random sample of six units, which met the inclusion 227 cases of hypertensive patients as the research object, the research object is divided into the intervention group and control group according to a unit of work from the hospital's distance, the distance near the hospital of 119 people into the intervention group and distance of 108 people into control group. The organization set up an intervention group consisting of researchers and 1 health managers to conduct training in accordance with the intervention measures. After the end of the medical examination, the establishment of electronic files, to assess the physical examination results of patients with hypertension, according to the assessment results to the control group of patients with hypertension to implement routine health education. On the basis of the intervention group, the knowledge, attitude and belief, health behavior of the patients were three months and 6 months. Before the intervention, two groups of patients were assessed by means of general information questionnaire, hypertension treatment attitude and belief evaluation scale, WHO/ISH cardiovascular risk prediction. 6 months after the intervention, two groups of patients were assessed again. All data using spss20.0 statistical description and analysis.Results Through the cluster sampling method, 12 units from the Tangshan City people's Hospital Health Examination Center for physical examination of 1 units, in line with this study included and excluded the standard of a total of 227 cases of patients. Intervention, the control group had 2 cases patients were lost to follow-up, completed a total of 106 cases of study; the intervention group had 1 case lost to follow-up, the final completion of a total of 118 cases; baseline clinical information in two groups of patients before intervention, the difference was not statistically significant(P>0.05). Patients in the two groups in the treatment of hypertensive attitude and belief scores: intervention, intervention group of hypertension treatment attitude and belief knowledge score(73.60±1.29) was significantly higher than that of control group(51.80±0.97), the difference was statistically significant(P<0.05); intervention group except continued treatment problem concerns dimension particularly, while the rest of the dimension scores were higher than those of the control group, the difference is statistically significant(P<0.05). 3 patients in the two groups occurred cardiovascular risk stratification and risk factors: intervention, intervention group occurred at low risk of cardiovascular disease the number from 61.9% rose to 73.7%; the number of moderate risk by 27.1% decline to 20.3%; the number of high risk by 11.0% fell to 5.9%. Compared with the control group, the difference was statistically significant(P<0.05). The risk factors of cardiovascular risk in the intervention group were significantly lower than those in the control group, the other risk factors were lower than those in the control group, the difference was statistically significant(P<0.05). Two 4 groups of patients with high blood pressure behavior compliance: intervention, the intervention group patients with high blood pressure behavior compliance score and each dimension scores were higher than the control group, the difference was statistically significant(P<0.05).Conclusion 1 KAP intervention can improve the attitudes and beliefs of patients with hypertension treatment. 2 KAP intervention can reduce the risk of cardiovascular disease in patients with high blood pressure. 3 intervention can improve the compliance of patients with hypertension. |
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