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基于社区的干预措施,用于管理孟加拉农村的高血压和糖尿病
Yurie Kobashi1,2,3, Syed Emdadul Haque4, Kayako Sakisaka5
1Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, 960-1295, Japan. yurie-s@umin.ac.jp.
Tropical medicine and health
|January 24, 2024
概括
非医疗保健工作者强有力的社区教育计划显著降低了孟加拉农村的缩血压. 这种干预措施对在资源乏的环境中管理非传染性疾病 (NCD) 具有前景.
科学领域:
- 公共卫生 公共卫生
- 健康教育 卫生教育 教育
- 非传染性疾病 (NCD) 管理
背景情况:
- 非传染性疾病 (NCD) 不成比例地影响低收入和中等收入国家 (LMICs).
- 关于非医疗保健工作者为农村LMICs的NCDs领导的教育干预措施的研究有限.
- 这项研究解决了在资源有限的环境中需要有效,可访问的NCD干预措施的需求.
研究的目的:
- 评估由非医疗保健人员提供的社区教育计划的有效性.
- 评估干预对与非传染性疾病 (NCD) 相关的结果的影响.
- 为了确定不同干预强度在农村LMIC环境中的有效性.
主要方法:
- 在孟加拉国六个村庄使用了准实验性设计,有两个干预组 (强和弱) 和一个控制组.
- 通过对600名参与者的干预前后调查收集了数据.
- 统计分析包括固定效应逻辑回归和多重线性回归,以评估干预对缩血压和血糖水平的影响.
主要成果:
- 与对照组相比",强"的教育干预组显示了平均静脉压 (7.3 mm Hg,p=0.001) 的显著降低.
- "弱"干预组的系统血压降低较小,不显著 (1.9 mm Hg,p=0.21).
- 两组之间没有观察到血糖水平降低的显著差异.
结论:
- 由非医疗人员提供的社区教育干预措施可以有效地改善高血压结果和风险行为.
- 精心设计的教育计划对于降低农村LMIC中非传染性疾病的负担至关重要.
- 这些发现支持频繁实施此类干预措施,以打击服务不足人群中的非传染性疾病.
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