摘要
目的 评价社区高血压自我管理模式实施 6个月之后对高血压患者健康状况及血压控制的影响。方法 按照以社区为基础的随机对照试验研究设计 ,将 2 1 9名自愿参加该研究的高血压病人 ,随机分为干预组和对照组。干预组接受高血压自我管理模式 ,对照组接受常规的高血压三级管理模式。然后比较 1 1 1名干预组病人和 1 0 8名对照组病人在项目实施 6个月之后健康状况及血压控制方面的变化。结果 干预组 6个月内在健康状况 3个方面的变化值 (健康自评、疲劳、情绪低落 ) ,明显好于对照组 (P <0 0 5 )。 6个月内干预组病人平均比对照组多降低收缩压 1 0 77mmHg ,舒张压 2 2 0mmHg ;与对照组比较 ,干预组、对照组 6个月内的血压控制率分别为 5 9 5 0 %和 3 4 3 0 %。结论 社区高血压自我管理模式较传统的高血压三级管理在改善健康状况、降低血压。
Objective To evaluate the six month effectiveness of community based hypertension self management on the health status and the blood pressure control in patients with hypertension Methods A community based randomized controlled trial was conducted among 219 patients with hypertension recruited by voluntary registration, most with high school education The 219 patients were randomized into 2 groups: intervention group (n=111) taking a course on hypertension self management once a week for 6 weeks and then studying in a group once a month for 6 months with a community doctor responsible for providing technical support, and control group (n=108) receiving routine hypertension management services Before the study and 6 months after the beginning of experiment questionnaire survey was conducted to investigate the changes in health status and blood pressure was measured by health workers Results The subjects in the intervention group showed greater improvement in health self evaluation, fatigue, and low spirit in comparison with the control group (all P<0 05) The value of systolic blood pressure decreased by 14 74±15 90 mmHg in the intervention group, significantly more than in the control group (by 3 97±12 21, P<0 001) The diastolic blood pressure decreased by 6 33±12 52 in the intervention group, significantly more than in the control group (by 4 13±9 85, P=0 002) The hypertension control rates in the intervention and control group were 59 5% and 34 3% respectively (χ 2=13 95,P<0 001) Conclusion The community based hypertension self management model is more effective on the improvement of health status and blood pressure control than the routine hypertension management services
出处
《中国健康教育》
2004年第10期869-872,共4页
Chinese Journal of Health Education
基金
美国中华医学基金会 (CMB
0 1- 75 7)项目
