多元化主义视域下健康管理干预社区老年高血压患者生活质量和依从性的影响  

Effects of health management intervention on quality of life and compliance of community-dwelling elderly hypertensive patients from the perspective of pluralism

作　　者：苏靓靓[1] 张红燕[2] SU Liangliang;ZHANG Hongyan(Department of Imaging,Affiliated Hospital of Nantong University,Jiangsu,Nantong 226001,China;Health and Disease Management Center,Affiliated Hospital of Nantong University,Jiangsu,Nantong 226001,China)

机构地区：[1]南通大学附属医院影像科,江苏南通226001 [2]南通大学附属医院健康与疾病管理中心,江苏南通226001

出　　处：《中国医药科学》2022年第20期99-102,106,共5页China Medicine And Pharmacy

基　　金：江苏省医院协会医院管理创新研究课题(JSYGY-3-2021-136)。

摘　　要：目的研究社区老年高血压患者经多元化主义视域下健康管理干预后其生活质量(SF-36)、自我效能、用药依从性评分和血压控制的变化。方法选取2020年8月至2021年8月在崇川区建立健康档案的60~75岁高血压患者220例,根据随机数表法分为观察组和对照组,每组各110例。对照组行高血压慢性病常规健康管理干预,观察组在对照组基础上行多元化主义视域下健康管理干预。干预周期6个月,比较两组干预前后的SF-36、自我效能、自我管理、血压水平和用药依从性评分。结果两组干预后SF-36、自我效能、自我管理和用药依从性评分、血压水平均优于干预前(P<0.05),且观察组优于对照组(P<0.05)。结论社区老年高血压患者应用多元化主义视域下健康管理干预后可有效降低血压水平,改善患者的生活质量、自我效能和用药依从性,值得临床推广使用。Objective To study the changes of quality of life(SF-36),self-efficacy,medication compliance scores and blood pressure control for community-dwelling elderly hypertensive patients undergoing health management intervention from the perspective of pluralism.Methods A total of 220 patients with hypertension aged 60 to 75 who established health records in Chongchuan District from August 2020 to August 2021 were selected.With the number table method,the selected patients were divided into the observation group and the control group,with 110 cases in each group.The control group received routine health management intervention for chronic hypertension diseases,while the observation group received health management intervention from the perspective of pluralism on the bas is of the s ame intervention received by the control group.T he intervention lasted 6 months,and the scores of SF-36,self-efficacy,self-management,blood pressure level and medication compliance before and after intervention were compared between the two groups.Results After the intervention,the SF-36,self-efficacy,self-management and medication compliance scores and blood pressure levels of the two groups were better than those before the intervention(P<0.05),and the observation group were better than those in the control group(P<0.05).Conclusion The health management intervention from the perspective of pluralism can effectively reduce the blood pressure level and improve the quality of life,self-efficacy and medication compliance of community-dwelling elderly hypertensive patients.This intervention plan is worthy of clinical promotion.

关 键 词：多元化主义视域 原发性高血压 生活质量 依从性 自我效能 自我管理 血压水平 

分 类 号：R544.1[医药卫生—心血管疾病]