Summary report on hypertension prevention activities

This time, our community health service center and the sub-district public health office launched a series of four hypertension prevention activities from September to October, which ultimately covered 1,217 residents over the age of 35 in the jurisdiction, and screened out 89 high-risk groups with undiagnosed hypertension and 1 patient who had been diagnosed but whose blood pressure was not controlled up to standard. 12 people. Sampling statistics show that residents’ awareness of the core knowledge of hypertension prevention and control has increased from 42% before the event to 78%. However, it also exposed the problems of low participation of young and middle-aged groups and insufficient early individualized guidance. The subsequent core direction will shift to lightweight prevention and control promotion based on scenarios.

Speaking of which, the original intention of this event is very straightforward. When we sorted out the public health data in the first half of the year, we found that the prevalence of hypertension in our jurisdiction has increased by 2.3 percentage points compared with last year. Especially among office workers aged 40-50, most of them have not had their blood pressure measured once a year. There are also many elderly people who believed in the "food therapy to lower blood pressure" in the short video and stopped their antihypertensive drugs without permission, and did not come to the hospital until they felt dizzy and uncomfortable. At first, we followed the old method of holding offline lectures on Wednesday afternoons and put up roll-up banners at the entrance of the community to announce the lectures. As a result, more than 20 people came, all of whom were retired at home. The young people either had to go to work or take care of their children, so they couldn't spare any time.

Later, we simply split the points into mobile ones. Temporary monitoring points were set up at community express stations, downstairs of office buildings, and charging stations where delivery people gathered. Everyone could get their blood pressure measured for free while picking up express delivery and waiting for food. It was much better than squatting in the neighborhood committee and waiting for someone to come. What particularly impressed me was a 42-year-old takeaway boy who took a test while picking up his meal. His systolic blood pressure was 158, and he waved his hand and said, "I just climbed the third floor. I'm tired." When I asked, I found out that he had never had his blood pressure taken. He often stayed up late to run orders and ate heavy takeaways. We registered him in the high-risk population ledger. Now he comes to the center for retests every week, and he has begun to adjust his diet and rest. Another aunt chatted with our doctor for almost 20 minutes. She said that she had read a health account before and said that boiling celery in water can lower blood pressure. She stopped taking antihypertensive medicine for half a month and has been feeling dizzy every day recently. This time she realized that diet therapy cannot replace medicine at all. When she left, she gave us a handful of oranges grown at home, saying that she finally understood the reason for her discomfort.

When it comes to high blood pressure prevention plans, there is actually no unified "standard answer" in the industry: one group of scholars advocates universal group intervention with low cost and wide coverage, such as issuing salt-limiting spoons to all residents and popularizing the common sense that daily salt intake should not exceed 5g.； The other group prefers precise intervention, believing that different groups of people have completely different high-risk factors. It is useless to tell young people who eat takeout every day to limit salt. They must first change their habit of drinking high-sugar milk tea and staying up late. Dietary guidance for patients with underlying kidney disease cannot be the same as for patients with simple essential hypertension. We simply tried both ideas this time. We distributed salt-limiting spoons and low-sodium diet manuals to retired elderly people. We gave video cards of office exercises and sugar-free drink coupons from chain milk tea shops to office workers who came to have their blood pressure checked. All high-risk groups identified through screening were kept in separate accounts. Family doctors will follow up one-on-one to adjust the plan to see which one is more effective. We will also keep the data during follow-up visits, which can also be used to gain experience for future activities.

But to be honest, there were a lot of pitfalls in this event. At the beginning, we prepared 100 limited-edition oil pots and planned to give them out for free. However, the young people who received them turned around and left the workstation drawers to gather dust. Most people did not cook at all. The rest were later transferred to the elderly in the community who often cook, so there was no waste. What’s more, the structure of the participants is really biased. People aged 35-45 only account for 17% of the total participants. Many young people walk around the blood pressure measurement stalls and say, “I’m too young to have high blood pressure.” But in fact, among the high-risk groups we screened this time, people aged 30-40 account for almost one-third, but people don’t have this awareness.

There are no big plans for the next step. First, follow up on the more than 200 people screened this time. Don’t let people have their blood pressure measured and then be left alone. Next month, I plan to discuss cooperation with three Internet companies in the jurisdiction, put small cards on hypertension prevention and control into their afternoon tea benefits, and organize a small activity where you can check in your blood pressure for 14 days to win a sports bracelet. There is no need to hold any serious lectures. Everyone can scan the code to watch when they are fishing. After all, chronic disease prevention and control is not something that can be done with a few activities. It is better to slowly penetrate into everyone's daily life.