Rodnick J E, Bubb K
J Fam Pract. 1978 Mar;6(3):599-607.
Two hundred ninety-two residents of Sonoma County, California, underwent multiphasic screeening and two sessions of group patient education aimed at reducing risk factors for cardiovascular disease, cancer, and automobile accidents. Approximately one year later all the participants were retested. A significant reduction was noted in systolic blood pressure in men and women, ages 50 to 70, cholesterol in men over age 40, and reported alcohol consumption in men. A significant increase was noted in the reported frequency of monthly breast self-examination in women, and in the amount of exercise and percentage of time seat belts were used in both sexes. No change was noted in reported amount of cigarette smoking, weight, fasting blood glucose, and triglycerides. The combined use of health hazard appraisal, multiphasic screening, and patient education can lead to a reduction in cardiac and other risk factors in well-motivated groups.
加利福尼亚州索诺马县的292名居民接受了多阶段筛查以及为期两期的患者群体教育，目的是降低心血管疾病、癌症和汽车事故的风险因素。大约一年后，对所有参与者进行了重新检测。结果发现，50至70岁的男性和女性的收缩压、40岁以上男性的胆固醇以及男性报告的饮酒量均显著降低。女性每月进行乳房自我检查的报告频率、男女的运动量以及使用安全带的时间百分比均显著增加。报告的吸烟量、体重、空腹血糖和甘油三酯没有变化。综合使用健康危害评估、多阶段筛查和患者教育可以使积极性高的群体中的心脏和其他风险因素降低。
