老年高血压病患者实施健康管理的效果观察  

The effect of implementation of health management in aged with essential hypertension

作　　者：金海燕[1] 俞志红[1] 叶莉[1] 茆荭[1] 

机构地区：[1]浙江医院干部保健科,浙江杭州310013

出　　处：《中国现代医生》2013年第28期7-9,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2011KYA023)

摘　　要：目的探讨健康管理对老年高血压病患者应用的效果。方法我院老干部门诊老年人群中随机抽取90名原发性高血压病患者(年龄≥65岁),对其进行一般管理的基础上进行有计划的健康管理。观察1年、2年后患者体重指数、血压、血脂、行为生活方式、服药依从性、疾病的知晓率和应对能力的变化情况。结果入组患者1年、2年后体重指数、血压水平、行为生活方式、服药依从性、疾病的知晓率和应对能力均有不同程度改善,差异有统计学意义(P<0.05);甘油三酯、胆固醇总体无统计学差异(P>0.05),但是胆固醇管理1年、2年与建档时比较差异有统计学意义(P<0.05)。结论对老年高血压病患者的健康管理,是一个缓慢长期的过程,时间越久效果越明显,可促进其养成良好的生活方式,掌握高血压相关知识,学会自我监测和管理,对控制高血压病、减少并发症、提高生存质量等均有良好的效果。Objective To explore the effect of health management for application in elderly patients with hypertension. Methods Among veteran hospital outpatient elderly population, randomly selected 90 patients with essential hypertension （age ≥ 65 years）, its general management plan based on a health management. Observed the change of 1 years, 2 years after the body mass index, blood pressure, blood lipid, lifestyle, medication compliance, disease awareness and the ability to respond. Results Awareness and the ability to respond of 1 year, 2 years after the patients only body mass index, blood pressure levels, lifestyle, medication compliance, disease have improved varying degrees, with a sig- nificant difference between the file control （P 〈 0.05）; for TC, TG, there was no significant difference （P 〉 0.05）, Cholesterol management in 1 year, 2 years, and documented than there were statistically significant （P 〈 0.05）. Conclusion Health management of elderly patients with hypertension, is a slow and long process, the more time the more obvious effects, it can promote to a good result of the development of a healthy lifestyle, hypertension knowledge, learn to self monitoring and management, to control hypertension, reduce complications, to have high quality.

关 键 词：老年 高血压 健康管理 

分 类 号：R544.1[医药卫生—心血管疾病]