Wiesemann A, Klimm H D, Nüssel E
Lehrbeauftragte für Allgemeinmedizin, Universität Heidelberg, Walldorf.
Z Arztl Fortbild (Jena). 1996 Feb;90(1):59-66.
To evaluate the German intervention model of "Community-related Behavioural Medicine" in reducing cardiovascular risk during a major prevention study (phase I) and to investigate the efficiency of a long-term evaluation by establishing a Local Health Information System for which cooperating primary care physicians carry responsibility (phase II). In the intervention city of Bruchsal (GCP evaluation, phase I), the cardiovascular risk factors were reduced: smoking (-9.4%), obesity (-17.1%), hypertension (-51.4%) and hypercholesteremia (-12.8%). In the general practices of Oestringen (LOHIS-evaluation, phase II), the prevalence of smoking, from 1992 to 1994 (-23.8%, p < 0.01) as well as hypertension (-22.2%), p < 0.01) continued to decrease; there was no further reduction of hypercholesteremia and over-weight.
在一项重大预防研究的第一阶段,评估德国“社区相关行为医学”干预模式在降低心血管风险方面的效果,并通过建立由合作的初级保健医生负责的地方健康信息系统来调查长期评估的效率(第二阶段)。在干预城市布吕沙尔(GCP评估,第一阶段),心血管危险因素有所降低:吸烟率降低了9.4%,肥胖率降低了17.1%,高血压患病率降低了51.4%,高胆固醇血症患病率降低了12.8%。在厄斯特林根的普通诊所(LOHIS评估,第二阶段),1992年至1994年期间,吸烟率(降低了23.8%,p<0.01)以及高血压患病率(降低了22.2%,p<0.01)持续下降;高胆固醇血症和超重情况没有进一步改善。