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健康筛查和教育对冠心病危险因素知识的影响。

Impact of health screening and education on knowledge of coronary heart disease risk factors.

机构信息

College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

出版信息

J Am Pharm Assoc (2003). 2011 Nov-Dec;51(6):713-8. doi: 10.1331/JAPhA.2011.10127.

DOI:10.1331/JAPhA.2011.10127
PMID:22068192
Abstract

OBJECTIVES

To evaluate the effects of a community health screening and education intervention on knowledge of coronary heart disease (CHD) risk factors and participation in health-promoting behaviors.

DESIGN

Descriptive, exploratory, nonexperimental study.

SETTING

Little Rock, AR, from July 2007 to December 2007.

PARTICIPANTS

56 participants recruited from two community health screenings.

INTERVENTION

Prescreening written questionnaire to determine baseline knowledge of CHD risk factors. Participants underwent risk factor screening (lipid profile, blood glucose, body mass index [BMI], and blood pressure) and received tailored education. A postscreening telephone questionnaire was administered 4 to 8 weeks later.

MAIN OUTCOME MEASURES

Participant knowledge of CHD risk factors and participation in health-promoting behaviors pre- and postscreening.

RESULTS

Of the 56 participants enrolled, 45 (80.4%) completed the postscreening telephone survey. Compared with prescreening responses, participants showed significantly greater postscreening knowledge of healthy values for CHD risk factors, including blood pressure (P = 0.02), fasting blood glucose (P = 0.03), fasting total cholesterol (P < 0.01), and BMI (P < 0.01). Following the screening, 20 (44.4%) participants had consulted their primary care provider and 31 (68.8%) made at least one healthy behavior change. Approximately one-half of participants reported changing eating habits, and 5 (11.1%) reported increased exercise.

CONCLUSION

These results demonstrate that community-based health screening and education interventions can effectively promote public health knowledge and empower participants to engage in health-promoting behaviors.

摘要

目的

评估社区健康筛查和教育干预对冠心病(CHD)危险因素知识和参与健康促进行为的影响。

设计

描述性、探索性、非实验研究。

地点

阿肯色州小石城,2007 年 7 月至 2007 年 12 月。

参与者

从两次社区健康筛查中招募的 56 名参与者。

干预措施

预筛查书面问卷以确定 CHD 危险因素的基线知识。参与者接受危险因素筛查(血脂谱、血糖、体重指数[BMI]和血压)并接受个性化教育。在 4 至 8 周后进行电话随访。

主要观察指标

筛查前后参与者对 CHD 危险因素的知识和参与健康促进行为的情况。

结果

在 56 名入组的参与者中,45 名(80.4%)完成了电话随访。与筛查前的回答相比,参与者在筛查后的 CHD 危险因素健康值知识方面表现出显著的提高,包括血压(P = 0.02)、空腹血糖(P = 0.03)、空腹总胆固醇(P < 0.01)和 BMI(P < 0.01)。筛查后,20 名(44.4%)参与者咨询了他们的初级保健提供者,31 名(68.8%)至少进行了一项健康行为改变。大约一半的参与者报告改变了饮食习惯,5 名(11.1%)报告增加了锻炼。

结论

这些结果表明,基于社区的健康筛查和教育干预可以有效地促进公众健康知识,并赋予参与者参与健康促进行为的能力。

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