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An Intervention Study of the Health Education and Knowledge-Attitude-Behavior about Hypertension among the Kazakh Group in South Mountain Pastoral of the Urumqi

Author: ZhangQingHua
Tutor: DaiYaLi
School: Xinjiang Medical University
Course: Social Medicine and Health Management
Keywords: Kazak Hypertension Health Education KAP
CLC: R193
Type: Master's thesis
Year: 2008
Downloads: 193
Quote: 0
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Abstract


Objective: To investigate Urumqi Nanshan Hasake, hypertension KAP level; Intensive Intervention by Kazak herdsmen to carry out health education and risk factors in patients with hypertension and improve the the Kazakh population hypertension KAP level and patients awareness, change pastoralists lifestyle reduce population blood pressure levels, and provide a reference for the care Countermeasures to explore Hasake hypertension pastoral areas. Method: integrated intervention class experimental design consists of three stages. The first phase of the baseline survey and analysis of Hasake; random cluster sampling Urumqi Nanshan Gan Gou Xiang over the age of 18 resident Kazakh herders 1832, of which 919 hypertensive patients, as a study to investigate the risk factors of hypertension develop intervention programs; eight consecutive months of the second phase of the intervention in pastoral areas hypertension health education as a primary means comprehensive intervention; Evaluation of the third phase, after evaluating interventions the Kazakh crowd and hypertensive patients the KAP level and blood pressure change . Results: 1) Kazakh crowd: ① intervene in the pastoral areas of hypertension prevention and control knowledge awareness (K) increased to 60.0% from 11.9% the the belief formation rate (A) increased from 13.8% to 57.3%, behavior formation rate (P) increased from 14.0% to 34.6%. Before and after the intervention, a significant difference (P lt; 0.05); controls pastoral areas did not change significantly; to ② intervene in the pastoral areas Hasake smoking, eating fat, high salt intake, inadequate intake of vegetables, compared with the control group were significant difference (P lt; 0.001). Intervention in pastoral areas of the crowd itself before and after the risk factors of hypertension, smoking, drinking, eating fat, insufficient intake of vegetables, there is a significant difference; the ③ intervention the the pastoral areas Hasake average systolic blood pressure 133.99 ± 20.34mmHg; diastolic blood pressure 86.45 ± 12.60mmHg ; hypertension detection rate of 50.16%. Intervention the pastoral areas crowd systolic blood pressure dropped 1.43mmHg, diastolic blood pressure decreased 0.25 mm Hg after the intervention; significant difference (P lt; 0.05), systolic blood pressure compared with the control pastoral areas; ④ intervention in pastoral areas full the crowd blood pressure classification level intervention before and after phase than there is a statistically significant difference (P = 0.001). 2) Kazakh hypertensive patients: ① After the intervention, the intervention KAP level the pastoral areas Kazakh hypertensive patients before and after the intervention significantly improved, there is a significant difference (P lt; 0.01); ② multivariate logistic regression analysis showed: The The main risk factors were the region Hasake hypertension drinking, high-salt diet, smoking, age, overweight and obesity. Pastoral areas Kazakh hypertensive patients, before and after the intervention compared insufficient intake of fruits and vegetables, high-salt diet, eating fat, smoking and other risk factors were statistically significant (P = 0.000); ③ intervention pastoral hypertensive population systolic blood pressure to drop 5.02mmHg, DBP 1.86mmHg, significant difference before and after the intervention (systolic P = 0.000; diastolic pressure P = 0.001); ④ After the intervention, the intervention and control group hypertensive patients with blood pressure level classification comparison, a significant difference (P = 0.014). Conclusion: Kazakh pastoral areas known letter behavior theoretical framework, strengthening intervention through health education and risk factors for hypertensive patients of to increase population KAP level change bad behavior, is not only effective, but also practical.

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