| Objective:This study took the 35-75-year-old people at high risk of cardiovascular disease screened in Jilin Province as the research object.Evaluate the effects of interventions in high-risk subjects with cardiovascular disease in Jilin Province,analyze the changes in the main risk factors of high-risk groups of cardiovascular diseases,explore the factors that affect the changes in main risk factors of high-risk groups of cardiovascular diseases,and provide references and basis for health intervention recommendations.Methods:The subjects of this study were 7,268 people at high risk of cardiovascular disease in the early screening and comprehensive intervention project for cardiovascular disease in Jilin Province from 2014 to 2016.The method of on-site survey is adopted,and the content of the survey mainly includes on-site questionnaire survey and laboratory inspection.Data analysis uses IBM SPSS 24.0 statistical software.The measurement data conforming to the normal distribution are expressed by the mean plus or minus the standard deviation,and the comparison between groups is by the t test or ANOVA test;the measurement data not conforming to the normal distribution is expressed by the M(Q),and the comparison between the groups is by the rank sum test;The enumeration data is expressed by rate or composition ratio,the comparison between groups is byχ~2 test,the analysis of influencing factors is by binary logistic regression analysis,and the difference is statistically significant with P<0.05.Results:1.Behavior and lifestyle changes of subjects at high risk of cardiovascular disease,smoking rate decreased by 5.2%,alcohol consumption rate decreased by7.1%,regular physical exercise rate increased by 38.7%,high-salt diet decreased by4.6%,and overweight rate decreased by 44.8%;objects at high risk of cardiovascular disease Changes in physiological and biochemical indicators,the average systolic blood pressure and diastolic blood pressure of high cardiovascular risk subjects decreased by 15.74 mm Hg,5.96 mm Hg,heart rate decreased by 3.35(times/min),total cholesterol(TC)decreased by 0.5 mmol/L,low-density lipoprotein(LDL-C)Decrease by 0.34 mmol/L and triglyceride(TG)by 0.5 mmol/L;2.The smoking cessation rate of the cardiovascular high-risk population was50.4%.The results of univariate analysis showed that there was a statistically significant difference in the smoking cessation rate of different gender,age,ethnicity,household registration,education level,occupation,and family annual income(P<0.05),with hypertension The difference in smoking cessation rate in family history of diseases such as coronary heart disease,diabetes,etc.was statistically significant(P<0.05);multivariate logistic regression analysis showed:female,non-agricultural household registration,unified household registration,divorce/separation,family annual income,family history of diabetes It is the influencing factor of smoking cessation rate;3.The abstinence rate of cardiovascular high-risk groups was 78.0%.The results of univariate analysis showed that there was a statistically significant difference in the abstinence rate of high-risk groups of different gender,ethnicity,household registration,occupation,and family income(P<0.05),with hypertension The difference in abstinence rates among high-risk groups with family history of diseases such as coronary heart disease,cerebral infarction,cerebral hemorrhage,diabetes,and malignant tumors was statistically significant(P<0.05);multivariate logistic regression analysis showed that:female,Korean,non-agricultural Household registration,family history of coronary heart disease,and family history of diabetes are the influencing factors of alcohol withdrawal rate;4.The abstinence rate of the cardiovascular high-risk population was 78.0%.The results of single factor analysis showed that there were statistically significant differences in the abstinence rates of different genders,ethnicities,household registration types,occupations,and family annual incomes(P<0.05),with hypertension and coronary heart disease.There was a statistically significant difference in abstinence rates among high-risk groups with family history of diseases such as heart disease,cerebral infarction,cerebral hemorrhage,diabetes,and malignant tumors(P<0.05);multivariate logistic regression analysis showed that:female,Korean nationality,non-agricultural household registration,crown Family history of heart disease and family history of diabetes are influencing factors of alcohol withdrawal rate;5.The conversion rate of high-salt diet among people at high cardiovascular risk is 53.9%;single factor analysis results show that there is a statistically significant difference in the conversion rate of high-salt diet among people in different urban and rural areas,ethnic groups,household registration,education level,and occupation(P<0.05)The difference in the conversion rate of high-salt diet among people with a family history of coronary heart disease was statistically significant(P<0.05);multivariate logistic regression analysis showed that rural,ethnic,educational level,and family income are the influence of the conversion rate of high-salt diet factor;6.The weight control rate of the cardiovascular high-risk population was 21.2%.The results of single factor analysis showed that there were statistically significant differences in the weight control rate of different gender,age,urban and rural areas,household registration,education level,occupation,and annual family income(P<0.05).There was a statistically significant difference in weight control rates with family history of hypertension,coronary heart disease,cerebral hemorrhage,diabetes,and nausea tumor disease(P<0.05);multivariate logistic regression analysis showed that:female,age,rural area,retirees,housework and Unemployment,annual family income,family history of hypertension,family history of coronary heart disease,family history of malignant tumors are the influencing factors of weight control rate;7.The blood pressure control rate of cardiovascular high-risk population is41.1%.The results of single factor analysis show that there are statistically significant differences in blood pressure control rates among different genders,ages,urban and rural areas,household registration,marital status,education level,occupation,and family annual income(P<0.05),there is a statistically significant difference in blood pressure control rates with family history of hypertension and coronary heart disease(P<0.05);multivariate logistic regression analysis shows:female,age,rural area,Korean nationality,non-agricultural household registration,unified Hukou,college degree and above,workers and technology,administrative staff,business services,retirees,housework and unemployment,family annual income,family history of hypertension,family history of cerebral infarction,family history of cerebral hemorrhage and other factors affecting blood pressure control rate.8.The blood lipid control rate was 54.0%.The results of single factor analysis showed that there were statistically significant differences in the blood lipid control rate of different gender,age,household registration,education level,occupation,and annual family income(P<0.05),with hypertension,brain Infarction,cerebral hemorrhage,diabetes,malignant tumors,and family history of hypercholesterolemia,the difference in lipid control rates was statistically significant(P<0.05);multivariate logistic regression analysis showed:female,age,family income,cerebral hemorrhage Family history,family history of malignant tumors,and family history of hypercholesterolemia are the influencing factors of blood lipid control rate.Conclusions:1.The effects of smoking cessation,quitting alcohol,regular physical exercise,weight control,salt-restricted diet,blood pressure control,and blood lipid control in high-risk groups of cardiovascular disease in Jilin Province are more significant;2.Behavioral factors:Factors with different characteristics have different effects on the behavioral changes of high-risk cardiovascular groups.Among them,gender,urban and rural areas,family annual income,and family history of hypertension are the main influences on changes in behavioral risk factors for high-risk groups of cardiovascular disease;3.Physiological and biochemical indicators:factors with different characteristics have different effects on the changes in physiological and biochemical indicators of cardiovascular high-risk groups.Gender,age,urban and rural areas,occupation,family annual income,and family history of cardiovascular and cerebrovascular diseases are the physiology of cardiovascular disease high-risk groups are the main influencing factors of changes in biochemical indicators. |
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