[A community-based prospective control study of comprehensive intervention in hypertensive patients].

Objective: To explore the effect of comprehensive intervention and the prognosis of hypertensive patients in a community.

Methods: To monitor and follow up the hypertencive patients in a community and their families, to intervene comprehensively and prospectively and to make comparison with a control group.

Results: The blood pressure of the study group declined from (157.7 +/- 9.0) mm Hg (SBP), (95.0 +/- 16.5) mm Hg (DBP) before entry to (130.6 +/- 11.0) mm Hg (SBP), (80.0 +/- 12.0) mm Hg (DBP), at the end of the study, with significant difference as compared with that of a control group (P < 0.001). The decrement was significant (P < 0.005). Patients' life style was changed and life quality improved. The rate of complications, disability and mortality declined in the study group five times than those in the control group. The total score of SCL-90 was significantly declined in the study group than control group.

Conclusions: The beneficial effect of community and family intervention and health knowledge education was confirmed in this study. There is still a long way to go for popularizing public health education, training professional health personnel and enhancing the compliance of hypertensive patients to treatment.