Welcome to visit Zhongnan Medical Journal Press Series journal website!

Evaluation of the effectiveness of knowledge training on hypertension among children and adolescents for primary and secondary school health workers in Beijing

Published on Sep. 18, 2021Total Views: 3979 timesTotal Downloads: 2245 timesDownloadMobile

Author: Lang JI 1 Yi-Tong CHEN 1 Jia-Li DUAN 2 Ying SUN 2 Ling-Hui MENG 1, 3

Affiliation: 1. Center for Evidence-Based Medicine, Capital Institute of Pediatrics, Beijing 100020, China 2. Beijing Center for Disease Prevention and Control, Beijing 100013, China 3. The Department of Global Public Health, Karolinska Institutet, Stockholn 17177, Sweden

Keywords: School health workers Children and adolescents Hypertension Training

DOI: 10.12173/j.issn.1004-5511.202102025

Reference: Ji L, Chen YT, Duan JL, Sun Y, Meng LH. Evaluation of the effectiveness of knowledge training on hypertension among children and adolescents for primary and secondary school health workers in Beijing[J]. Yixue Xinzhi Zazhi, 2021, 31(5): 323-328. DOI: 10.12173/j.issn.1004-5511.202102025.[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Objective  To study the effectiveness of centralized training for school health workers to enrich their knowledge about hypertension in children and adolescents.
Methods  A total of 422 pri-mary and secondary school health workers in Beijing were recruited to receive centralized teaching on hypertension among children and adolescents between June 2016 and December 2017. The effective-ness of the teaching was evaluated by using a questionnaire survey before and after the teaching ses-sions to measure knowledge levels. We used comparative analysis to evaluate the effect of the training on improving knowledge about hypertension among children and adolescents.
Results  A total of 390 participants attended all the training sessions and completed two valid questionnaires. The post train-ing total mean scores had increased by 8.4 points. The mean scores for the four areas, including preva-lence (18.6±4.4 vs. 16.7±4.3), risk factors (12.6±3.5 vs. 10.0±3.5), target organ damage (11.4±5.7 vs. 9.0±5.3), and interventions and treatments for hypertension in children and adolescents (16.0±6.7 vs. 14.6±5.9), had also all increased, and the difference was statistically significant (P<0.01). The post-training scores of different subgroups including: gender, age, work organizations, job titles and administrative positions were all higher than the pre-training levels, and the difference was statistically significant.
Conclusion  Centralized training is effective in raising school health workers knowledge about hypertension in children and adolescents.

Full-text
Please download the PDF version to read the full text: download
References

1.   胡盛寿, 高润霖, 刘力生,等. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2019.03.001. [Hu SS, Gao RL, Liu LS, et al. Summary of the 2018 report on cardiovascular diseases in China[J]. Chinese Circulation Journal, 2019, 34(3): 209-220.]

2.   国家卫生计生委疾病预防控制局. 中国居民营养与慢性病状况报告(2015年)[M]. 北京: 人民卫生出版社, 2015. [National Health Commission of the People's Republic of China. A report on nutrition and chronic dis-eases in China[M]. Beijing: People's Medical Publishing House, 2015.]

3.   孟玲慧. 青少年高血压及其危险因素对早期靶器官损害的影响[D]. 北京:北京协和医学院中国医学科学院, 2013. [Meng LH. Impacts of hypertension and related risk factors on early target organ damage in child-hood[D]. Beijing: Peking Union Medical College, 2013.]

4.   Dong B, Ma J, Wang HJ, et al. The association of overweight and obesity with blood pressure among Chinese children and adolescents[J]. Biomed Environ Sci, 2013, 26(6): 437-444. DOI: 10.3967/0895-3988.2013.06.004.

5.   Gray L, Lee IM, Sesso HD, et al. Blood pressure in early adulthood, hypertension in middle age, and future cardiovascular disease mortality: HAHS (Harvard Alumni Health Study)[J]. J Am Coll Cardiol, 2011, 58(23): 2396-2403. DOI: 10.1016/j.jacc.2011.07.045.

6.   Yan Y, Hou D, Liu J, et al. Childhood body mass index and blood pressure in prediction of subclinical vascular damage in adulthood: Beijing blood pressure cohort[J]. J Hypertens, 2017, 35(1): 47-54. DOI: 10.1097/hjh.0000000000001118.

7.   Gishti O, Jaddoe VW, Duijts L, et al. Impact of birth parameters and early life growth patterns on ret-inal microvascular structure in children: The Generation R Study[J]. J Hypertens, 2015, 33(7): 1429-1437. DOI: 10.10 97/hjh.0000000000000561.

8.   Juhola J, Magnussen CG, Berenson, et al. Combined effects of child and adult elevated blood pressure on subclinical atherosclerosis: the International Childhood Cardiovascular Cohort Consortium[J]. Circulation, 2013, 128(3): 217-224. DOI: 10.1161/circulationaha.113.001614.

9.   中国高血压防治指南修订委员会, 高血压联盟(中国),中华医学会心血管病学分会中国医师协会高血压专业委员会,等. 中国高血压防治指南(2018年修订版)[J].中国心血管杂志, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002. [China Committee for Revision of Guidelines for Prevention and Treatment of Hypertension, Hypertension Alliance (China), Chinese Medical Association Committee of Cardiovascular Diseases, Chinese Medical Doctor Association, Hypertension Professional Committee, et al. 2018 Chinese guidelines for the management of hypertension[J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56.]

10.  米杰, 王天有, 孟玲慧, 等. 中国儿童青少年血压参照标准的研究制定[J]. 中国循证儿科杂志, 2010, 5(1): 4-14. DOI: 10.3969/j.issn.1673-5501.2010.01.002. [Mi J, Wang TY, Meng LH, et al. Development of blood pressure reference standards for Chinese children and adolescents[J]. Chinese Journal of Evidence Based Pedi-atrics, 2010, 5(1): 4-14.]

11.  张明明, 米杰, 王琍, 等. 北京市412例儿童18年后血压纵向对照调查[J].中国循证儿科杂志, 2006, 1(3): 187-192. DOI: 10.3969/j.issn.1673-5501.2006.03.004.[Zhang MM, Mi J, Wang L, et al. Blood pressure tracking from child-hood to adulthood in 412 individuals[J]. Chinese Journal of Evidence Based Pediatrics, 2006, 1(3): 187-192.]

12.  梁亚军. 儿童期高血压预测成年高血压及靶器官损害的前瞻性研究[D]. 北京:北京协和医学院, 2011. [Liang YJ. Prospective coholt on predictive risk of childhood hypertension to hypertension and subclinical target organ damages in adults[D]. Beijing: Peking Union Medical College, 2011.]

13.  Chen X, Wang Y. Impacts of measurement protocols on blood pressure tracking from childhood into adulthood: a metaregression analysis[J]. Hypertension, 2008, 51(3): 642-649. DOI: 10.1161/hypertensionaha.107.102145.

14.  孟玲慧, 侯冬青, 单馨影, 等. OMRON HEM-7012电子血压计测量儿童青少年血压的准确性评价[J].中华高血压杂志, 2013, 21(2): 158-162. DOI: 10.16439/j.cnki.1673-7245.2013.02.036. [Meng LH, Hou DQ, Shan XY, et al. Accuracy evaluation of Omron HEM-7012 electronic sphygmomanometers in measuring blood pres-sure of children and adolescents[J]. Chinese Journal of Hypertension, 2013, 21(2): 158-162.]

15.  孟玲慧, 梁亚军, 胡跃华, 等. 电子血压计与台式水银血压计测量儿童青少年血压的比对研究[J].中华高血压杂志, 2012, 20(8): 738-744. DOI: 10.16439/j.cnki.1673-7245.2012.08.038. [Meng LH, Liang YJ, Hu YH, et al. Comparative study on validation of electronic sphygmomanometers and mercury sphygmomanome-ters in Chinese children and adolescents[J]. Chinese Journal of Hypertension, 2012, 20(8): 738-744.]

16.  陈奕彤, 马明静, 姬阆, 等. 学龄前儿童社区血压管理模式研究[J].中国全科医学, 2021, 24(4): 496-503. DOI: 10.12114/j.issn.1007-9572.2020.00.388. [Chen YT, Ma MJ, Ji L, et al. Effect of community-based moni-toring on blood pressure control in preschool children: a pilot study[J]. Chinese General Practice, 2021, 24(4): 496-503.] 

17.  Rao G. Diagnosis, epidemiology, and management of hypertension in children[J]. Pediatrics, 2016, 138(2): e20153616. DOI: 10.1542/peds.2015-3616.

18.  李敏, 徐玲芬, 陈苏红, 等. 年轻护士规范化培训的效果评价[J].解放军护理杂志, 2011, 28(10): 55-57. DOI: 10.3969/j.issn.1008-9993.2011.10.024. [Li M, Xu LF, Chen SH, et al. Effectiveness evaluation on stand-ardized training for new nurses[J]. Nursing Journal of Chinese People's Liberation Army, 2011, 28(10): 55-57.]

19.  蒋琪霞, 李晓华, 刘云. 伤口护理专科培训方法及其效果评价[J].中华护理杂志, 2009, 44(8): 732-734. DOI: 10.3761/j.issn.0254-1769.2009.08.023. [Jiang QX, Li XH, Liu Y. The methods and effects of specialty training for wound care[J]. Chinese Journal of Nursing, 2009, 44(8): 732-734.]

20.  郭亚文, 周祖华, 周月芳, 等. 学校生活技能培训在预防伤害中的效果评价[J].中国学校卫生, 2006, 27(9): 786-787. DOI: 10.3969/j.issn.1000-9817.2006.09.015.[Guo YW, Zhou ZH, Zhou YF, et al. Evaluation of the effect of school life skills training in injury prevention[J]. Chinese Journal of School Health, 2006, 27(9): 786-787.]