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作 者:刘凤阁[1] 张红杰[1] 李会敏[2] 苏佳[1]
机构地区:[1]河北大学,保定071000 [2]河北大学附属医院神经内科
出 处:《现代预防医学》2011年第12期2276-2278,共3页Modern Preventive Medicine
基 金:保定市科技局计划项目(05F007(7))
摘 要:[目的]评价中小城市社区高血压自我管理模式的实施效果。[方法]在河北保定市区选择3个社区的60岁以上高血压患者为研究对象,其中两个社区为干预组,一个为对照组。对干预组进行高血压自我管理健康教育综合干预,并在干预前后对干预组和对照组均进行高血压相关行为、血压控制情况等调查,评价干预效果。[结果]干预组干预前调查110人,干预后99人;对照组干预前调查99人,干预后81人。干预组干预前后血压下降较对照组显著(P﹤0.01),体重指数降低程度显著大于对照组(P﹤0.05),遵医嘱服药率提高程度明显高于对照组(P﹤0.01),经常监测血压的比例提高程度也明显高于对照组(P﹤0.01)。[结论]高血压自我管理健康教育模式在中小城市具有很高的有效性和可行性。[Objective]To evaluate the effectiveness of hypertensive self-management model in communities of middle-sized and small cities.[Methods]Among city communities in Baoding,two communities were selected to form the intervention group and one was the control group.Patients with hypertension aged over 60 were invited to participate in the study.Participants in the intervention group received health education and comprehensive intervention about hypertensive self-management.Baseline and end-time surveys were conducted to collect information on hypertension-related behavior,treatments and so on.[Results]110 and 99 patients participated in the study before and after intervention in the intervention group respectively,and in the control group were 99 and 81 respectively.After the intervention,the blood pressure and the body mass index of patients in the intervention group decreased more than those of the patients in the control group(P﹤0.01,P﹤0.05).About the behavior,at the end of the intervention,the total medication treatment rate and the rate of regularly blood pressure surveillance of patients in the intervention group were enhanced,and the increase degree were significantly different from those of patients in the control group(P﹤0.01).[Conclusion]Hypertensive self-management model is effective and feasible in the prevention and control of hypertensive in communities of middle-sized and small cities.
分 类 号:R544.1[医药卫生—心血管疾病]
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