Ambrosio G B, Strasser T, Dowd J E, Tuomilehto J, Nissinen A, Froment A, Milon H, Miguel J M, Macias-Castro I, Dondog N
Bull World Health Organ. 1988;66(1):107-13.
A WHO-coordinated study of the community control of hypertension in six countries (Cuba, Finland, France, Italy, Mongolia and Portugal) has shown that a comprehensive approach clearly improves the care of hypertensives in various populations. Hypertension control programmes were individually designed in each country and were implemented in defined communities. The intervention strategies varied between countries, the major components being: establishment of hypertension clinics and hypertension registers, involvement of health care personnel, and health education of the entire community. As a result of this programme, the blood pressure in the age group 30-59 years decreased on average by 3/2 mmHg among men and by 6/3.5 mmHg among women; the mean blood pressure level decreased twice as much in hypertensive subjects as in the entire population in the intervention areas of the study.
世界卫生组织协调开展的一项针对六个国家(古巴、芬兰、法国、意大利、蒙古和葡萄牙)高血压社区控制的研究表明,综合方法显著改善了不同人群中高血压患者的护理情况。每个国家都单独设计了高血压控制项目,并在特定社区实施。各国的干预策略各不相同,主要组成部分包括:设立高血压诊所和高血压登记册、让医护人员参与以及对整个社区进行健康教育。由于该项目,30至59岁年龄组男性的血压平均下降了3/2毫米汞柱,女性下降了6/3.5毫米汞柱;在研究的干预地区,高血压患者的平均血压水平下降幅度是整个人口的两倍。