社區高血壓控制實驗－先驅研究

為探討社區健康介入活動影響成人高血壓控制之情形，根據臺灣北部地區成人健康行為研究所完成的血壓篩檢資料，退出590位血壓偏高考（血壓≥140/90mmHg），分別、編入「身心鬆池」、「血壓測量」、「函授自學」和「對照」等四個實驗組中。本研究以「村里」為實施分組的分派單位，以「家戶」為實施介入活動的教育單位，於民國七十八年一月至六月期間，分別完成前後測資料之收集與介入活動。實驗結束後，僅299人參與全程計劃。比較四組的資料發現：(1)身心鬆池、測量血壓和函授自學三種方法均有助於個案收縮壓之降低；其中身心鬆弛法還能有效地降低舒張壓，而且具能降低收縮壓的效果優於函授自學法；(2)個案前往測站量血壓的情形並不踴躍；(3)函授自學組個案寄回答案紙的比率雖不高，但它能顯著地延長個索之睡眠時數。這些結果除了提供國內社區衛生教育之實證資料外，並對衛生教育實務，尤其是健康促進工作之推展極具參考價值。

關鍵字

無資料

並列摘要

A health survey was conducted in northern Taiwan from July 1987 to June 1988. In order to investigate the effect of health intervention on high blood pressure control in adults, 590 cases from the survey with blood pressure levels of 140/90 mmHg and higher were selected for inclusion in this study. These cases were randomly assigned to one of four groups: the relaxation, the BP measurement, the self-learning, or the control group. The family was used as the educational unit Pretest and post-test, as well as intervention activities were given during January and June of 1989. After intervention, only 299 cases attended the post-test session. Findings from the comparison of the four treatment groups showed that: (1) the three interventions including relaxation, BP measurement, and self-learning helped decrease individual SBP, meanwhile, relaxation training helped decrease individual DBP and demonstrated better effects in decreasing SBP, than the self-leaning process; (2) cases in the BP measurement group showed poor compliance in measuring blood pressure at the stations; (3) cases in the selflearning group showed poor compliance in mailing test sheets back to researchers. However, they did mention more longer sleeping hours than before. These finding not only provide experimental evidence for the value of community health education, but also are a useful reference in the area of health education practices, especially in the health promotion efforts.

並列關鍵字

Hypertension ； Intervention Trial ； Biofeedback

國際替代計量

社區高血壓控制實驗－先驅研究

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