Báo cáoban kế hoạch thực tập tại phòng truyền thông của trung tâm y tế dự phòng huyện chương mỹ

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Nhóm sinh viên thị trấn Xuân Mai
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MỤC LỤC
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2.1 Thông tin chung về trạm y tế 1
2.2 Hoạt động của trạm y tế 9 tháng đầu năm 2010 2
2.3 Mô hình bệnh tật và tử vong ở thị trấn Xuân Mai 2
1.1 Phương pháp thu thập 3
1.2 Quy trình thu thập thông tin 4
2.1 Các vấn đề về sức khoẻ 4
2.2 Các vấn đề về quy trình liên quan tới sức khoẻ môi trường 6
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PHỤ LỤC 3: CÁC PHƯƠNG PHÁP LỰA CHỌN VẤN ĐỀ SỨC KHỎE ƯU TIÊN37
1.1. Đối tượng nghiên cứu 46
1.2. Cỡ mẫu và phương pháp chọn mẫu nghiên cứu 46
Cỡ mẫu nghiên cứu được tính theo công thức tính cỡ mẫu ngẫu nhiên đơn xác định
một tỷ lệ, ở đây là tỷ lệ có kiến thức đúng về THA 46
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DANH MỤC CÁC TỪ VIẾT TẮT
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PHẦN I- XÂY DỰNG KẾ HOẠCH CAN THIỆP
I.THÔNG TIN CHUNG
1. Thông tin chung về thị trấn Xuân Mai

Vị trí địa lý và dân sốD UV*Mˆ-58E*8/M&
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Ud%@@9:<>„A•!•*" ++<„@3\’@“4
Về kinh tếDU*!-$Z23B C$%/-"
53"i"EsIsE/-45 +"!/-2
-$Z3‘"b$'LX*U/-2•$.*
<9:93:zA">`C"<@Š' O!Œ<99•45W-$Z
!•$.*<9:9d%<:Š<Š' O!Œ<99•45*[-
B)*.*#<99••"@/*C;#;"' <99zd%
9">„/*C;#;’“4
Về văn hoá, xã hộiD %UTd%•!*2%+„!*32
/*d%+4M•!*2+:%+d%#X*8(2J$
 3$" %Z45U+<#. "<#Z*,"
<#*,'a4E %"(B%^+<#-b*,
%Y*#3," ”3,I/-" ”E/-%
q$ZE"#G*'5%>z85$/F*3"
8b-."O„@%!$4N(3dT!"$#
3," ”%$X/-+(B%Y•*8$/
3XS8W["‹-"\8%32’@“4
Về giao thôngDUV*Md%.*W )*,d(!F
K%E%$‰58N‹#)*WdAR%#KCM38)*"<
 #%8+^)*, /-$Z!U%3
Y*!/ d*+Y*OY45*8("1 $$-+
_`B27_NEi?UV*M8gd%*8('W
UY'! … #2-*8 %U2 
3 "2Jd*8Y2B/6$Od["*8$/
3XS%38J#’@“4
2. Thông tin chung về tình hình chăm sóc sức khỏe tại thị trấn Xuân Mai

2.1 Thông tin chung về trạm y tế
Về cơ sở vật chất:38755?UV*M3*•)*WY8XS
<99>'a[U3."B8.8453+2/d%
><:<":„-^%:#B/4
Về nhân lực/855+>$B87N5?B C:B$'&"8'&":
Y*2]%:2T$5 %U
%•!*":9$B8!*•T 55 $'+'
!012%$8)*WZ!(B%7•!*
+:8!*"(!*5N2 B%(+<8!*-$?4
:
2.2 Hoạt động của trạm y tế 9 tháng đầu năm 2010
E<9:9"55UV*M/:9(*)*W%
A8!$7-^W‹"-^W(-b…1"-^
W(*L8"/'#"/' %-•"8,#?4PY
$!$FB/7wN?" •$.*<9:9"55S!$%Y*
<9A@dT#7CwN#%!$!Œ?455SZ!W
$-^W2'WX*U*8"(*L8"*‹04E %" 3
U--$*W2J/*)*L"**W8* 2.
2.3 Mô hình bệnh tật và tử vong ở thị trấn Xuân Mai
2.3.1 Mô hình bệnh tật
 !"#$%&'()*"+, -..
/!0123454'()*"
G*bT-%-'bwN•$.*<9:955 U8"b
'W#T-!$355d%@zzdT#45`d/$!$355
 Ud%$B/(#U-<9dT#9"zŠb'WdT
!$"L<9Š' •$.*<99•4E %^'W+B/!$
+`d/!$ *. %7:z"<Š?"(* $7•"•Š?4$+B/!$
`d/W0%+(d/.!7„"Š?"+B/Y‹
7"9Š?"B/(!-7>"@Š?%U7<"AŠ?4
2.3.2 Mô hình tử vong

 !678*9:&'()*"+, -;..
/!01<:=>9:454'()*"
<
% 'b1 2•*8( •$.*<9:9" %U
+„>  +*8( 2 3`d/ U
7„>"zŠ?:„4Q<d%*8( 2 *z
<<"AŠ"-d% 2 *b%:„"AŠ% 2 3 
@"Š4
5(B%U"$!$FB/!‰T/355
%^/3-^!$! V*M%'W'a84N(
3+"U‰$$B//dK%E! L„9!(-.d
#2BFB/c'‘+X*d(”*8(Z!$%F
B/4E %"1 /55‰!$%Y*$B/
#"2 +"'Wd/*aBZ*C:%<‰d%'Wd/*YB/[% 1 B$
$ 55%+Z!32/ B/[% a
UV*M4QZ+$b)*YB/[% 3
UV*M"EfPS*[-(*C'U-6-0U'*"L
d*[+$B(d()*!T-)*'$6C4
II. XÁC ĐỊNH VẤN ĐỀ SỨC KHỎE TỒN TẠI VÀ VẤN ĐỀ SỨC KHỎE ƯU
TIÊN
1. Phương pháp và quy trình thu thập thông tin
1.1 Phương pháp thu thập
5 #3UV*M"+'(7EfP?! $A
5#3,5S*[-"$$CBˆY*
--$-!$*"+' '$"W*%!Z– $S*
[-4$--$-*[-ZX$UY'! …S$-2B
CD
1.1.1 Thu thập số liệu thứ cấp
s 5*[-'Wd/*'—+3_NEiUV*MY2'W"!"*
[-"/d%" $"- "[-)*$"3d'XS

-4
s 5*[-'Wd/*'—+355UV*MY3d8-
BW$'a8"/W8"3-[$28
#2B C`d/!$"FB/#2+*%$W
T2JBb…1"#%"-F+"WT
'$"$UY/'#B C/'"/* 
%XdH$L"-#%'\"$*C8J3C4
s 5!L $%d/*"8ZZ*Fd()*UY
./-4
1.1.2 Thu thập số liệu sơ cấp
s q0U'*N5UˆZ*Y$!$FB/%
'+'!013-7?+@.
s q0U'*_NEiUV*M%32/$B% %ZZ
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1.2 Quy trình thu thập thông tin
2. Các vấn đề sức khỏe và các vấn đề quy trình liên quan đến sức khoẻ tồn tại ở
địa phương
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)*)*8YUY5Ev5"EfPTB/3-
+B/-$-!‹-/T%8Ž6W#S::( JM787
OK'(OP$ 2[GH•7\">*b"
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5Ev5"$#T-38*d%2 3FX1$8%X1$8"FX1
$8%"XL8% # ZcB/d%d\[- 3W4QZZ*(
UY"EfPS%)*'$3()*WdA% B#Z>#
'$"::#%:>#Y*7•#Z)*'$ :9-\?4w)*L

U8 b'W:9zdTX1)*Z)*'$% B#Z("+:>
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/%#C'*?!gBL Z"„"@Š4G*$$
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BL Z!F 3#‹cB/d%F 3#!+W
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*b"!*qW?4
2.2 Các vấn đề về quy trình liên quan tới sức khoẻ môi trường
Rác thải sinh hoạt chưa được thu gom và xử lý: )*)*'$%-0U
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P/* %XdH$L^c-Y*!+!45(B%US+
8#* $"*8(/* ‰/(#
)*Wd4{($!*#,"55%$%!$"$
'‘T* !Œ:$;d.4P[8C3/T,$%X*U
/$BS$-$3Y*Z U.*"bT
%cB/d%3!*SBU451 -L$#2'W3!*
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Ž/M#-Y+WM:S0_`+2[•7q"„@*b"!*qW?4N(
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*CY*”$!$45#Z)*'$d%$::2d
(#g'1d3"*)*'$% #Z+U72O™?
[*C+Z^dY*45)*-0U#2%
N5"TB"$XdH$#2a88*d%W"d^
# cbX*W'4K/3")*8Y-c-!+!
 /Z[-!$2 2/U0%[2
(!)*8 3ZZXdH$"C#)*8Yd(/T
Z[-!%XdH$a-!$4E %" )*$-0U

A
CEfP[U8#2* $%
$,)*/XdH$Bˆ$Wd%/dT"T-/'%!W
!–4ŽMW#OQ+R:M:H! -7$ VM0K0a(
!+2#-HJ:$F•7\q"@*b"!*55T?4
Tỷ lệ hộ gia đình sử dụng nước sạch trong ăn uống, sinh hoạt thấp:1 B$ $
55( %UV*M+A">Š'2
% "^d3d%'2! 7AŠ?%7<•"„Š?d%*C
 *W"' 34G*)*'$:@"
+:<;:@!3(**•$%(*:9":@;:@!
'2BZd,%z;:@% !+‹-[8B@D5*8(
!-0U#2"EfP[U8,')*UY
'34P21 H!32/!*5NDŽM#(7 Q
VOXM7MP(7%$ *•7\M"<*b?4K/3"U+
!ZUdT($$TX$3
J3-4
3. Xác định vấn đề sức khỏe ưu tiên
56AUY(+EfP%UZ1 ZBL7Nq{f=
BL:?Z,:UY'!01"'2--$-UZ)*8
:UY'! …#4QZ,dTUY*(/-"EfPS
!L H!N5"-+_NEi%E5Uˆ
Z*)*-6UY(4N(3++S
$$*(<UY(2% $(*D-OT-"!
"2JU-[%*Cd.4NL:B%8!)*LUZ$
UY'! …1 ZBL7Nq{f?4NL<B%8!)*LUZ
)*8bH( c@+@6@+C.
Bảng 1: Bảng chấm điểm các vấn đề sức khoẻ dựa theo thang điểm cơ bản BPRS
Tên vấn đề
A
(Phạm vi

vấn đề)
B
(Tính trầm
trọng)
C
(Hiệu quả
can thiệp)
Kết quả
(A+2B)xC
5  2 *
`d/
„ •  z
Tỷ lệ bị THA ở NCT
cao
7 8 8 184
5`  d/  $  B/  d(
)*    #  
U-
z @ @ •9
fW5Ev5(
B%U
A • @ :<9
Bảng 2: Bảng chấm điểm quy trình
Tên vấn đề
Tác động lên
khách hàng
Nhu cầu cần can
thiệp
Kết quả
Rác thải sinh hoạt

chưa được thu gom và
xử lý hợp vệ sinh
4 4 16
5`  d/        '
2    '   3
@ < :9
>
!T-/'
f*!UZ"^d3<UY'*D
s 5`d/B*8$-a# *b 4
s {$L' 3T* %XdH4
i()*%!L*8*Cd)*8Y
-"55%$ %Za-"C#' '$YU-"
/*)*L%!L2*8/-"EfPSd,T
UY*(./-d%D5`d/*8$-a# *b3UV*
M<9:9 4
III. PHÂN TÍCH VẤN ĐỀ SỨC KHOẺ ƯU TIÊN
1. Vấn đề ưu tiên can thiệp:
5`d/B*8$-a# *b3UV*M•$.*<9:9
 7„:"@Š?
2. Một số khái niệm liên quan tới bệnh THA
5*8$-d%B/3 +$-d$*/W3
 "B/T-d 3%$ 31 6*8$-*%
’„“4Q8d%B/#c-a# *b"*!Y*#X*8(
%!-#+Z8FB%*8Z4QC#"+Z
2-^TB/*8$-)*/3$8*W*8’<“4
c*:K+%GH+Od=ef+ J'4g?CC
3. Các phương pháp phân tích vấn đề sức khỏe ưu tiên
- q0UdTz9#(@9*b/'W3UV*MZ
$$!s$s%7wRq?YUY2-^%Y*5KR

cDACh
- q0U'*$B(d()*7B C-+_NEiU"32/
a!*(B%U"E5"3a55%32/
E5(U?ZZ*'*$*8("8*Wd()*UY
%$B(d()**Z!Y2-^
%Y*5KRcD?iD+C@+CC
- 5b*L d*[+•8!*ZZ*37wRq? 
Y*%2-^5KRE5%X82'WL-$-/--OT-
-cD6+CD
- f2!&*[ jOK0:k ZX828UY"-$
*8(2˜UY%*8(WJ4
- P[2j7FVG7F '0R2^<kId 217:•>?Z
$8*W$UY5KRaE5%$8*Wd()*78*W28
"8*W#"8*W2*8Y%$8*W%dW'W?4
4. Phân tích vấn đề
4.1 T€ng quan về bệnh THA ở NCT.
5KRd% FB/-bBE5%d%UY'! …
$d 345.'*U5KR C%8%%/3a
 "cB/3$-$Z45KRT d%*8(8* 
::"Š$ aM&<99„4<9s„9Š#T- aB/5KR
-2 5KR’>“4›P/E")*(*P/dT%'$
z
<99AS`d/5KRaE5d%<z"Š’A“45KRd%8*W*8%.*
8B% 34ETd3"!Z' $W5KR -–-L`d/
)*œ„@s9Š"C$*<9s<@Š%L'*8@9Š’A“4
51 QY*G*W<99:s<99<"`d/5KRB‹.* 6@
*bW%@@*bWF456A@*ba"`d/5KRXU-X‰a<
7„s@Š?45`d/‹5KRg2.1 *b"6@@*bad("`d/
‹ U-@d.*b6<@s„:"<Š’z“45.'*U5KRaE5%8
%%/a ’A“1 b7‡Kp?)*

Y*C U8`d/5KR!Y* cY*!.8
>9s>@ŠaB/5KR( %%+A>Š'WB/!
BB5KR!!$’z“4
4.2 Thực trạng bệnh THA ở NCT tại thị trấn Xuân Mai
51 !)*L!$'! …!Œ E5( %U%EfPS•T
55b.*$::<9:9 U8`d/5KRaE53UV*
Md%„:"@Š' <99•7<•"AŠ?% 'Wd/**)*W
7<z"Š?•`d/E5BY5KRd%:z">Š5 +"`d/5KR%Y5KR6
!*TBZ*2J)*BZ*C284
 !@4l/64'4g?MJ4g?K'()*";..
/!0120R2:m='2n:/64'()*"
G*BZ*CU8"`d/5KRaE53•!*( %UY* `d/
*L%`d/%8!+'(d/dF$!*4 Ud%
!*V*M„"@Š%U-Ud%!*NOV$<z"Š45*8("‰+
! L>9ŠE5!$ T!$'! …!Œ%8('Wd/*(BZ*
C+Z!32/ `d/B5KRaE5( %UV*M4
4.3 Các yếu tố ảnh hưởng tới tỷ lệ THA của NCT tại thị trấn Xuân Mai
4.3.1 Ảnh hưởng bởi yếu tố cá nhân
M'W8*W$d%*8‹B/5KR*b""
3dH"‰'W!WZ"3B/dH$$ #"Wd 3*8Z
+d-2$*’:“45 'W$8*W$+F8*W!Z8b
T"*b"Y'%+F8*W$+Z/-ZL
/‹B/5KR8*Wd()*wRqYB/5KR"8*W
•
dH"B/[4G*!)*L-6-0UdTz9E5 U8E5+
Y*%*8D@@Š#X*8('2T*B">4AŠS6\
*Wd$;*Wd%  'W++•<Š#\(:9":"„Š#X*8(
UB– %][%‰+"zŠE5+$%Y*‰dW'W"8
b+)*11 Y*+dTZ2-^Y*5KR4G*-0U'*"
Y*E5++)*1!W*W!T-dH7c"Y*

2.*]?"#X*8('2U!7T*"B?"Ž4#oVd
OY+P$o[+M7M:SV•7K"A9*b"!*V*M?4
EY*E5 3Zd c+d*8/[--OT-[-!
Y*c"#d*8/[-!"!+B%[-\$4Ž4#MH
M7FM72$M%= *•7B%E"@>*b"!*NOV$?4‰'W
E5!$'!01!Œ%*\-$CY*4ŽpVV
M0qI28O(77F1 '!$#+:Q;GK 
2•7w"A„*b"!*5(5T?4K/3"U+
*8YY2-^%Y*5KR4Ž6W#OQN78787J
#J0R2:m+=':OQ=*+O PM7J#8J
4g?$KW#Oe OY•7\5"@*b"3a55
UV*M?4
QZ2-^%Y*5KR/*)*L"!F.Y*Bˆ*W%
^-L!T-$B/-$-$ 2*8Y'! …ˆ8b$8*
W*81 Y*+dT B/B5KR%2-^
#B5KR4
4.3.2 Chất lượng dịch vụ
G*-0U'*3a55 U855g[U8'`
d/E5B5KR"55˜+$ 3*8Y%U/*
)*LYUY%84E*8(d%2 N5*!LU"*8Y
YB/5KRcB/d%$8!*"C#%d/**8YY5KR
/*%234Ž/; ,+G Y23ro:
OQ:1+W#S%(7l:+=e 'POd$
O=:FMM27J#J( JM78pO
2 OY•7\5s@*b"3a55UV*M?4K/855
8*‰!$%U--$*W FE5!$33%b!$
FB/J- E5(B%•d.4E %"3U
+!$'%d,%1 2•*8$-!Œ+*g
+UY-^W5KR E5+(4Q8d%F8*W)*,
d%35KRaE53UV*M4

4.3.3 Ảnh hưởng của yếu tố môi trường
M#'W L$%/d*8/[-Z2Z 75i55?%%8
+--.2*8*8$-% '!01 E5453U" 3
E5+^)*, / #'W. E5%[
E5#X*8($ 35i5545*8(- % 5i55
E53U/*)*L" 3!CY*F$!*[8
!*8!TY*E5- % 5i554Ž6]P2:H@.s
OQ:1:gM:K =:#M7FM
MR#OQ% [•75">@*b"E5V*
M?4QcB/"WE5')*%C+^)*
:9
, /\-E5-^%Y*B/5KRE53Y!L
'+4
E[8")*-33UV*M U85KR%$8*
W*87Ud%$8*WdW'W"W+Z8bT?Sa%UY
.L)*8!F‰Bˆ*WY*!Z' $KR"%^.%
d 3$B/-$-$ 2*8Y'! …ˆ% $8*W*8c
B/d%$8*W*8YdW'W4QZX82)*LdH%$'$
B(5KR/*)*LaC".-WT-/Y**W3$-F
B/-$-/-$8*W*85KRˆ8b$%1 Y*
+dT #5KR4
5. Cây vấn đề
i(-UY5KRaE5+*%3UV*M+
("EfPSX$TB*8(WJd%D
sChưa có chương trình theo dõi huyết áp định kỳ cho NCT tại thị trấn Xuân
Mai4K/3$ 3d()*!$"U--$*W%UY5KR
E5‰TdC–- $T!$'! …!Œ•:d.(
d3/*)*L 4
sChưa vận động được nhiều NCT tham gia các phong tràoTDTT45`d/E5
% E5U 7z>Š?"*8(`d/E5$*d3BZ

2"Z 2 E5b‰3! L<@s„9Š4E*8(d%2 $
 35i5523"-OT-%*#!*U8- % 4
sHoạt động truyền thông, tư vấn về dự phòng và điều trị THA cho NCT chưa
hiệu quảE*8(Ud%2 N5*!&UY5KR4K/3"
U+d-[-*U !%!& N5YUY
5KR4E*8(d%2 %d/**8Y^*%*8Y
-OT-4K*8YY5KR‰/(d %
dC–-% $2% E5"*8(+B%-$%
Y[-UY2-^%Y*5KR4E*8(Bd%*8'
g8!* *8YY5KR4
::
E5
)*Y
B/5KR
5*#
!*U8
- %
$ 3

5i55
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23
5*
2
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5i55
5*'
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

5*!\YY*
%2-^5KR
 $*B[
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v
)*
Hoạt động truyền thông, tư vấn về dự phòng
và điều trị THA cho NCT chưa hiệu quả
Hoạt động truyền thông, tư vấn về dự phòng
và điều trị THA cho NCT chưa hiệu quả
K
*8Y
-OT-
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8
!*
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Z
d*8/
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5KR
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Chưa vận động
nhiều NCT
tham gia thể
dục thể thao
Chưa vận động
nhiều NCT
tham gia thể
dục thể thao
Tỷ lệ tăng huyết áp ở người cao tu€i tại thị trấn Xuân Mai năm 2010 cao (31,5%)
Tỷ lệ tăng huyết áp ở người cao tu€i tại thị trấn Xuân Mai năm 2010 cao (31,5%)
Chất lượng dịch vụ y tế chưa tốt
Chất lượng dịch vụ y tế chưa tốt

Ảnh hưởng bởi yếu tố cá nhân
Ảnh hưởng bởi yếu tố cá nhân
Môi trường xã hội không thuận lợi
Môi trường xã hội không thuận lợi
Chưa có
chương
trình
theo dõi
huyết áp
định kỳ
Chưa có
chương
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huyết áp
định kỳ
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5*
%d/*
*8Y

Y
5KR
N5
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5
%
2
-^
5KR
!–
*W
dH
7d d‹

”ž?
M
#
'W

”
q % 
d*8/[-
5i55
E5


5Y'

+
#
5KR
5*
')*


C
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6. Phân tích đối tượng đích
QWT/-d%FE576@9*bad(?/
'W(B%UV*M4QZZ*wRqY2-^%Y*
5KRgZ*$!(E53U"EfPS'
2--$-L‹+-!T-%dTD
E(*%Bˆ-0U'*32/$B(d()*C
_NEi"55"E5%E53UD?+DC@+CCC
#/L d*[+8!*•!*(UD6
CD4E(*dTT%Bˆ$-0UdTz9#
6@9*bad(1 --$-,˜*˜*(cDAChQZ
$$(**•3%!3Y!%% 2-^%Y*
5KRE5"EfPS!L 'W(*YUY5KRaE5Z
UZ%$-d 3-OT-DA+Ch4fWd/*
dTT-Bˆ-.Yfqff:A"'Wd/*T-
1 Y4G*-!)*L-"EfPU8+'WUY.)*
'*D
6.1 Yếu tố tiền đề
Kiến thức về tăng huyết ápD

QZ$$!Y5KR"EfP!$$YB/-$--$/
B/5KR".'*U!Z*8$-"‰'WX$5KR"$B5KR"
8*W*8%8*W\--^B/5KR4G*!)*L-"`d/E5a
UV*M+!\Y5KRd%<•">Š%+'!$B/+He
W!(FF#B5KR%F#!B5KR7χ<Ÿ<">•"
-Ÿ9"9>?4›FE5B5KR`d/+!\Y$UYd()*
5KRd%„>"<Š^aF#!B5KR"`d/%8‰3:•"Š4i a
-+-^W5KRaE5(+Zd%F#B
5KRSZ*Y$YB/6$B8%($-/
*8Y3\"%"'$B$ 44[8+!WF
#BB/4w-Z$UYTY[- -.!"
`d/%8TZ/)*BZ*C284
 !C !#Hl/64P2FR WJ4g?
:„
5`d/E5+!\Y$8*W*8B/5KR3 U
„AŠ4ETd3"+•">ŠE5!B cB!.8$B/-$-
Z-$/B/5KR4N(3+"`d/E5+!\YB
5KR%$-^B/!+'(d/d1 d%:„"„Š%:">Š4
Thái độ về bệnh tăng huyết áp:
5$E5WUY5KRT$$)*/[
*8ZB/5KR%/(8!(Z!/-
Y2-^%Y*5KR4w)*LY*dT U8E5aU
V*M+$!$W2-^B/5KR4+A9"@ŠE5
$$[*)*LB/5KRd%*8Z%+•9"<ŠE5 ˆ(Z
!/-Z2-^%Y*5KR4QY*%80E5
)*%/-Y5KR%8d%dT\-
/%4
Thực hành điều trị tăng huyết áp:
w$$%Y*B/F#B5KR"$(*T
'2d%/+8!Y*!-$/B5KR"/Y*%8+1

\-$C!"F%% SY*‰1 +dTZY*
5KR4P3Y*Cd%#(]˜*Y*dTW
0"Ÿz9" 'W%8'WE5B5KRd%„z#4G*!)*L-
U8+>ŠE5!*)*8Y*5KR7B CL/Y*
Bˆ*W%/Y*‰"8b$%*8?4
 !D ! R eM WJ4g?
wZ*dH2 /Y*!\-$C"+@@">ŠE5
ˆ!.-L*W*W#X*8("<>"Š# B,!
YZ**W*W%%84E %^'WdH2 !$D!
Z*W*W8U8X*U/'W/*d3(26*W4
6.2 Yếu tố tăng cường/củng cố
Gia đìnhD$UdF%*85KRaE54
q.dE533-'WO $"(#'W"2
2]"' 3%d*8/[-E5-*Y*% $%(!$ 
j6:(FM:$;%7#RM0:M f^F 8:
$ OYk7B%5"><*b"!*5(5T?4QY*%8d3Y*8*WBUdT
 '! …E5Ba22]#d%%*(#
:
Y*3%UB– "!-OT-E545 !+"E5!B
$Y*‰ -OT-Z3%'! …4
E %"d*8/[-5i55E5g-*d' 3
(8BUdT /% $*d3B5i55E5j4#S
V %[OfH#M::P M3k7K"Az
*b"!*NOV$?4N(3+"'*)* /‹a
E5*W*Wgd%L/*)*L/Y*5KRj6:P%
HM7+&M *M[$ OYk7B%"><*b"!*NOV$?4
Hội người cao tuổiD E53UV*Md% F
 3!$/*)*L*8/M&45*8("‰+! L„9ŠE5
$ 35i55"/E54E*8(2  3
E5B -%CY*4K/5i55‰$-2%3

!*5‹%5N"^d3$!*Y*d3/*)*L 4N(
3+" $B*b' 33 Y*!/ZE5 b"!
/'+'! …*4
6.3 Yếu tố tạo điều kiện thuận lợi
53UV*M" 8+2-^"[%)*LdH
B/5KR 2O)*[6!)*L-0U"UY%8Y*
T)*8Y"55%#2)*j6POd$G*X0R
2:m:$VG+ 'OdW#W OY$$0a0t0M#k
7B$P""@*b"a!*5‹?4E<99"55U+X82
!$'%d,%U--$*W5KR E5%$"*8(
‰2*8TA$2 #2[T.)*
,/ *8$-!Œ%Y*\-$Cj6W#2
OYh+0 PRXo=-80SH=Kk7\5"@*b"
3a55V*M?
K 3*8YUV*M2J!$/*)*L%*U-
Y* #24
 !h !=r28#Oo(/64'()*"
G*!)*LY*dT"d -$Ud%!(*8YT
E5U„"•Š"-d%*8Y/FFE5
*%F$%( 7<<"@Š?4E %"$[T
6$B*b' 3"' 3gTE5)*z4zŠ4$!(
:@
!$,'$B$ 8U355+`d/U-4QY*%8
-.2 E53!Ld3%!++)*1,B$ %%8
(E5#T-[%d/*"/-*8YYB/5KR4
IV.MỤC TIÊU CAN THIỆP
1. Mục tiêu chung
/*:2FRMeMJ=efM J'4g?/64K'(
)*"+76Od"u+gM/.v.v. F@vv.
2. Mục tiêu cụ thể

:4 5‰d/E53UV*M"*8/M&"%-WK%E+
!\Y2-^%Y*5KR36<•">ŠA@Š69:;9:;<9::
$„:;:<;<9::4
<4 5‰d/E53UV*M"*8/M&"%-WK%E
%\Y2-^%Y*5KR6<AŠd(@9Š6$9:;<9::
$:<;<9::4
V. GIẢI PHÁP CAN THIỆP VÀ KẾ HOẠCH HOẠT ĐỘNG
1. Giải pháp can thiệp
P/X828UY%X$T*8(WJ"+S
-0U'*%!L H!$B55"8!*"32/)*8Y
-"aKE5%3/E53UZ$L-$-
L)*8UY-OT--h?+DL4M•+
L-$-'‘+'W--$-/Z4QZd,F--$-
-OT-"EfPSL d*[%UZ •--$-/4
$$$$--$-/2(<(*d%/*)*L%
!L45ZW •(*d%@Z4w)*L$$2
('W/*)*L%!L4q-$-/Td
,-LLBL <(**•D5(*/*)*L%-L+Z
(*B7 Ÿ„"@?"C#'W%8-Ld cBˆ:4
Lựa chọn giải pháp can thiệp
i% 8UY"+X$T„*8(WJ2!/-
d%D+1 2•*8$-!Œ• 3*8Y"UY
2-^%Y*5KR E5/*)*L•%[TY*E5
5i554i% F*8(WJ%8C#!L H!
$B(d()*7_NEi"55"E5"E5?"EfPSX82T$L
-$-/-ˆL/UY5KR3U4+'W*8(
-2˜$*8(WJ(*8(!TZ,L
-$-/-$L-$-+!-OT-
-4P2W*8([Y*E55i55"+<
dH2 d%*25i55%Zd*8/[-EfP!,d%L

-$-/-4i !--!ZB(25i55
%!BW(T$ZZd*8/[-5i55Ž6W# w 
09=0* $+M;:M0*OQIMd7%O=o
3 ' M72^82# R -OQ=*•7\E"
z*b"a!*qW?4$--$-/ •L-$-T
B%8aBL2"'W--$-/TbdC–-*Z
!/*Cd%/*)*L4
:A
MA TRẬN GIẢI PHÁP CAN THIỆP
Tên
vấn đề
Nguyên
nhân gốc rễ
Giải pháp Phương pháp thực hiện
Tỷ lệ
THA ở
NCT
tại thị
trấn
Xuân
Mai
năm
2010
cao
(31,5%)
1. Hoạt động
truyền thông
và tư vấn về
dự phòng và
điều trị THA

chưa hiệu
quả
Tổ chức
truyền thông
về tăng hyết
áp
f*."X82%d/**8YY2-^%Y*5KRaE5
5[-*U#!"!&*8Y%UY2-^%Y*
5KR $B8%8!*7<d.;:?
5*8Y)*d -$  %2YB/*8$-
q$# FE5B5KR%Y5KRYFUYd()*5KR
P!•*/*d(#*8(*8YY2-^%Y*5KR
Tổ chức các
chương trình
tư vấn
5*8Y*U-! E53% $Y[*)*L"$8*W*8"
$2-^%Y*5KR7„d.;:?
5UdC–-% $T!Z*8$-%$
2. Chưa có
chương
trình theo
dõi huyết áp
định kỳ
hàng tháng
Tổ chức
chương trình
kiểm tra và
theo dõi
huyết áp định
kỳ hàng

tháng.
5[-*U $BE5Y$ "$-d 35KR7<d.;:?
w*8!•E5BU:$8 *8$-
q$'b1 2•3*8$- E5
wZ*8$-%$!T-UYY*%2-^5KR F
E5BY%5KR3% $•!*4
w$'%d,A$;:d.Z!Z"1 2•FE5B5KR4
3. Chưa vận
động nhiều
NCT tham
gia phong
trào TDTT
Đa dạng hóa
các hoạt
động TDTT
E$5i557[-2]'".*d"B+B%ž?( %U4
5U E5%d*8/[--OT-3'! …4
qWT-$" %ZZ!*8!E5- % 5i55
Tìm người
khuấy động
phong trào
5#!*U8- % E5
6Wo6Ode1R!xX OY'`M0[
:>
NL[UZ$--$-/%BLdHLUZ
hih6D+h.
Phân tích các bên liên quan hAhh
2. Kế hoạch hoạt động
2.1 Bảng KH hoạt động chi tiết (phụ lục 7A trang 67)
2.2 Bảng KH hoạt động theo theo thời gian (phụ lục 7B trang 76)

2.3 Bảng dự trù kinh phí hoạt động (phụ lục 7C trang 78)
VI.GIÁM SÁT- THEO DÕI- ĐÁNH GIÁ
1. Kế hoạch giám sát
1.1 Sơ đồ giám sát
v$'$-
qWT- 3
5-/
1.2 Nhiệm vụ, chức năng của các thành viên trong sơ đồ giám sát ?

1.3 Giám sát bu€i truyền thông, cung cấp kiến thức về dự phòng và điều trị THA
1.3.1 Kế hoạch giám sát (phụ lục 8B trang 82)
1.3.2 Bảng kiểm giám sát (phụ lục 8C trang 83)
2. Kế hoạch theo dõi- đánh giá
2.1 Mục tiêu đánh giá
Q$$/*)*L$ 3SZ!/-DŽE
 !%%Y2-^%Y*5KRE5UV*M"
*8/M&"%-WK%E6%89:;9:;<9::%8„:;:<;<9::•B
CDQ$$*Cd'—+!Z!"$$
/$ 3\wK"$$!)*L3T$ 3' 
(*%*8(%"UB34
2.2 Thời gian đánh giá
Q.*!ŒD:@;:;<9:: vF!ŒD:@;A;<9:: *W!D<@;:<;<9::
2.3 Bảng chỉ số đánh giá (phụ lục 8D, trang 85)
Lãnh đạo UBND thị trấn
$ 3/-2-^%Y*5KR
$B*8Y
U
EfPủ tịch hội NCT
thị trấn
5a!*$B8!*

a
E5$!*
$B-$
5KR55
:z
PHẦN II- PHÁT TRIỂN THÔNG ĐIỆP TRUYỀN THÔNG
56-8UY"$8*WLaUY5KRaE5g
-cZWT78*WYY"8*W#W%
8*W3 Y*!/*[dT?"EfP, 3*8Y*U-!
 E5 2-^%Y*5KRZX82%/Ha
/-*8Y75Q55?4
I. HÌNH THÀNH CÁC THÔNG ĐIỆP TRUYỀN THÔNG
1. Hành vi nguy cơ và những hành vi mong muốn đối tượng đích thay đ€i
Hành vi hiện
tại
Thực trạng Hành vi mong muốn
Điều trị không
đúng phác đồ
51  !  )*L  -0  U  
dT"  @„"@Š E5  ! Y*
  !  -$  /  B  5KR  %
@A"@Š'WE5+Y*
!*W*W1 
E5B5KR+!.8
Y--$-Y*%Y*
#X*8("1 \-$
C4
Không có thói
quen kiểm tra
huyết áp hàng

tháng
w)*L-0UdT"
‰ + :<Š E5+ + )*1
!Z    *8  $-  %  $"
^  d3  ‰  !Z    W    <
d.;1 !$
'! … E555
E5!Z*8$-!Œ<
d.;$3% $!*
Ăn nhiều dầu
mỡ, chất béo
động vật
51  !  )*L  -0  U  
dT:"„ŠE5#X*8(
2O  Y*  2.*  ]"  U  B–
[%•:"•Š 'W,
!B cL
dTUB–  4
E5Y*‰T2
2] -O  T-"    # 
*"$+d*"U-"$
Y*("X%
Ăn mặn.
:„"zŠE5+Y*
*W%•@Š 'W+!
B   c      L  *W
 4
E5Y*‰"L
dT*W !•*-.
Bˆ  $  (  3"  !  '

2  Y*    ‹"  X  2.*
 BF
Uống nhiều
rượu bia
@@Š  E5  #  X*8(  *W
T*B%‰@9ŠE5B
*WY*T*Bd%*8
85KR
E532OT*B"(
*WW:%8z9dT*7<
–? c„A9dB7<W?
Hút thuốc lá,
thuốc lào
>"AŠ  E5  #  X*8(  \
*Wd$"%#\*Wd$
.* :@4
E5  L 2.  dT  *W  d$"
*Wd% •%8d\6B0
T+)*1\*W
Ít vận động thể
lực
•ŠE5T-0UB
T  ˆ  [-  Z  2  #
X*8("  Y*  c  d%  B/  -$-
-^W5KR"‰+
<zŠ  E5  +  +  )*1  [-
5i554
E5BTd*8/[-
-OT-3'! …
%$

*d3BZ2"Z
:•
G*!)*L-0UdT"EfPZ*T'W%*8
E53U#c-a(45UL$%%8Y*+--.d%*8
5KR(*‰[-*8b%*8'‘!1d3/*)*L
 Y2-^%Y*5KR4QW2-^5KR.-L8bdW'W
B C!T-22]T-dH%d*8/[-5i55#X*8(4QW
FE5B5KR*W2*8*8$-b6-L8bdW'W6
-L*1 \-$CY*4P[8"*/-3 ‰[-*
% %*8WT'‘d3/*)*L%!-OT-
(*4G*)*$L d*[+%!L H!
N5%'W/-SZ!Y5KRg$ (
L238-./-*8Y#Q3,"EfPd
,/-3 '‘UY*Y5KR%($/-
BbT4$/-BbT'‘% $%Z2%( 6
+WT c6 3Z4
2. Ý tưởng về các kênh truyền thông có thể sử dụng
56!)*L-WT!T-$$*TZ$
*8Y+)*8d,$'*D
5*8Y)*# E5D#d%23%d/*0",*[/Zd*
F%+Z2J2%,d34N(3+"#2J."2J'2%2J-
[ E5"(E5+Z2J2% b*F(
#4KF(# %2*^'2L(*\
T'\H")*WT4
5*8Y)*d %( %UD1 !)*L-0UdT
E53„!* U"„@ŠE5*8Y)*d -$
U%>:Š 'W,#X*8(1 2•(d -$
% '$'4G*FB%-$T-$(d % F#U
 *.E5+Z‹TFY[*)*L5KR"$2
-^%Y*B/5KR4QZ+ZT'WE5"F

B%-$(T-$% \#ZY*E5+Z1 2•#
dT-OT-4‚*Zd 3*8Y%8d%3UTB'W
dTd Wd%+Z'WdTdE5a6!*
 U"W!–4
5*8Y)*!•*/*3$ZWD!•*/*T!
F/-‹,"2JZ*"X\Z/•%2**8Y
Y[*)*L%$-^$B/5KR4w•*/*Ta%+$
!*"'"E5[-Z2[8`d/E5+Z-[$*C
)*!•*/*d%U 4
5bB*b*8Y*U-!Y2-^%Y*5KR
E53UDd%*U-$!$ %2/Y5KR
$-^$5KR"$Y*%Y*‰%d*8/[-
T-dH"EfPYX*UHabB*b[-*U*U-!")*B*b
[-*U%8"E5+Z‹•Y% d%5KR"*8ZB/
5KR%$8*W*82˜B/5KR"$LB*8Z!
B5KR45)*+E5+Z b-FUYd()*5KR"
L$-F‹‹BL%*2C(!Y-^%Y*
5KR4
<9
yOY $R7J#,?,
3. Ý tưởng về nội dung và hình thức của các sản phẩm truyền thông
P*U-!\YB/5KRC#!*8!E5
$%+dTZ2-^%Y*B/5KR"+2'2
$*8Y'*D*8Y)*d -$")*!•*/*
d(#%)*#4E2**8YL"2JZ*"%.8
.d()*2-^%Y*B/5KRZE52J%2J1
2•4K*8YL2*TY*‰ -OT-8*W
dHcE54,,
4. Các thông điệp truyền thông dự kiến thử nghiệm
i($/-'—+S!L T%$Ha$%

( +"EfPS%:z/-7B C>/-!L
%::/-X82?,6,C
f*!+:•/-*8Y"EfPSBZ*)*8Y*d.Z3'W
dT$/-2($(*D
:4 v8'\H%2*8'\HWTE54
<4 5/-B‹.*BˆFZ;W4
„4 5/--L•%7WT+Z[%(d%•dH2
8%"Bˆž?
4 K%8(*.*WT/-L+!L4
@4 5/-!*8!;!d/WT$/*)*L4
A4 K$F/--OT-/-72*
"*%"8UT'*'‹ž?
>4 5/-'2d#!(*,;*8-%T-W
T7dH cLX\ž?4
z4 5/-!83 cd%!+*#!$!,X1
w)*L'*<d.BZ*)*8"+S,T>/-Z%
/2FGHG7F,6,C
:4 5*8$-d%!…#.dc4
<4 q$/'"Y*!-#"['‘!WTB/
*8$-4
„4 5*8$-"!…O'W:'!01# *b4
4 E# *b*82-^%Y**8$-4
@4 5*b*8$-!s*'W! …8(d^$* 4
A4 Q *8$-!Œ'! …# *b4
>4 51 2•*8$-"#Zd"*W\Z-^6
*8$-4
zq# ,A,D
II. THỬ NGHIỆM THÔNG ĐIỆP TRUYỀN THÔNG
1. Kế hoạch thử nghiệm thông điệp truyền thông
QZ/$/-%d,/-3 %$

/-BbT EfPS%/<d.4
5/d.:Dj-2--$-Y*-!T-BL!Z%
-0U$WTDN55"$B8!*"$ ("E5"
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