Bhattacharya Sudip, Saleem Sheikh Mohd, Singh Dhananjay Kumar, Marzo Roy Rillera, Singh Amarjeet
Department of Community Medicine, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.
Demonstrator, Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India.
J Educ Health Promot. 2021 Jan 28;10:41. doi: 10.4103/jehp.jehp_280_20. eCollection 2021.
We know that risk communication is equally important as risk identification, which is usually not communicated properly to the patients and resulting in poor outcomes, especially in hypertensive patients.
Our study objective was to evolve and test a colour coded client segmentation based public health approach to educate the community to deal with problem of hypertension.
This cross-sectional pilot study was done in March 2020 among purposively approached in a primary health centre to 100 people aged above 18 years, among them 41 gave written consent for the study and their demographic information was noted. They were given colour coded cards as per the current blood pressure level and previous history of hypertension. On each colour coded card, specific advice was written for that category. For all the participants, blood pressure and treatment seeking behaviour was noted. For hypertensive patients, adherence to medication and non-pharmacological measures was noted.
Mean age of the participants was 46.5 ± 13.06 years. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the participants were 135 ± 16.85 mm Hg and 86 ± 11.42 mm Hg, respectively. Among the participants, 10 (24.39%) had a known history of hypertension. Among them, as per the blood pressure levels measured on the day of the study 50% (5) had their blood pressure levels under control. Interestingly 16 (39%) participants were found hypertensive incidentally.
It is evident from the studies that colour coded approach is used in multiple ways, in multiple settings, for multiple diseases. To our knowledge, little focus has been given for hypertensive disorders in the community level. We merely bother about making their risk profiling, even in the digital age. Sometimes physicians in emergency become puzzled whenever patients collapsed in front of them and we missed the "Golden Hour" for the treatment by searching patients' medical details.
The above problem can be solved by risk profiling of chronic patients by colour coded OPD/Health cards.
我们知道风险沟通与风险识别同样重要，而风险识别通常没有恰当地传达给患者，从而导致不良后果，尤其是在高血压患者中。
我们的研究目的是开发并测试一种基于颜色编码的客户细分公共卫生方法，以教育社区应对高血压问题。
这项横断面试点研究于2020年3月在一个初级卫生中心进行，特意选取了100名18岁以上的人，其中41人书面同意参与研究，并记录了他们的人口统计学信息。根据当前血压水平和既往高血压病史，给他们发放颜色编码卡片。在每张颜色编码卡片上，针对该类别写有具体建议。记录所有参与者的血压和寻求治疗行为。对于高血压患者，记录其用药依从性和非药物措施情况。
参与者的平均年龄为46.5±13.06岁。参与者的平均收缩压（SBP）和舒张压（DBP）分别为135±16.85毫米汞柱和86±11.42毫米汞柱。在参与者中，10人（24.39%）有高血压病史。其中，根据研究当天测量的血压水平，50%（5人）的血压得到控制。有趣的是，1
