以自我管理理论为核心的健康管理平台管理高血压患者的效果  

Effect of health management platform based on self-management theory as the core on the management of patients with hypertension

作　　者：韩晓璐 叶征 王晓燕 刘晓玮 冯芬 HAN Xiaolu;YE Zheng;WANG Xiaoyan;LIU Xiaowei;FENG Fen(Office,Department of Changfeng Community Health Service Center of Putuo District,Shanghai 200062,China;Science and Education,Department of Changfeng Community Health Service Center of Putuo District,Shanghai 200062,China)

机构地区：[1]上海市普陀区长风社区卫生服务中心党政办公室,上海200062 [2]上海市普陀区长风社区卫生服务中心科教科,上海200062

出　　处：《上海医药》2024年第14期40-44,共5页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:分析以自我管理理论为核心的健康管理平台对高血压患者自我管理能力、血压水平、依从性、并发症及满意度的影响。方法:将2022年7月-2023年1月于长风社区卫生服务中心收治的120例高血压患者随机分为传统管理组和健康管理组,每组各60例。传统管理组中男性36例、女性24例,平均年龄(59.24±3.21)岁;健康管理组中男性34例、女性26例,平均年龄(58.53±4.21)岁。对传统管理组患者行常规健康护理方式,对健康管理组患者行自我管理理论为核心的健康管理平台护理方式。比较两组患者的自我管理能力、血压水平、依从性、并发症发生率及满意度差异。结果:干预后两组患者饮食管理、血压管理、用药管理、运动管理、情绪管理能力评分均有明显提高,但健康管理组的各项评分均高于传统管理组,差异均有统计学意义(均P<0.05);干预后两组患者收缩压和舒张压水平均有明显降低,但健康管理组收缩压和舒张压水平显著低于传统管理组,差异均有统计学意义(均P<0.05);健康管理组的总依从性和总满意度高于传统管理组,并发症发生率低于传统管理组,差异均有统计学意义(均P<0.05)。结论:以自我管理理论为核心的健康管理平台能促进高血压患者自我管理能力和依从性提高,降低血压水平,减少并发症,提升患者满意度,具备临床推广意义。Objective:To analyze the effect of health management platform based on self-management theory as the core on self-management ability,blood pressure level,compliance,complications and satisfaction of patients with hypertension.Methods:One hundred and twenty patients with hypertension admitted to Changfeng Community Health Service Center from July 2022 to January 2023 were randomly divided into a traditional management group and a health management group with 60 cases in each group.The traditional management group had 36 males and 24 females,and the average age was(59.24±3.21)years;and the health management group had 34 males and 26 females,and the average was(58.53±4.21)years.The traditional management group received routine health care,and the health management group received health management platform nursing based on self-management theory as the core.The differences of self-management ability,blood pressure level,compliance,complication rate and satisfaction between the two groups were compared.Results:The scores of diet management,blood pressure management,medication management,exercise management,and mood management were improved significantly,each score in the health management group was higher than that in the traditional group,and the difference was statistically significant(P<0.05);after intervention,the systolic blood pressure and diastolic blood pressure levels were significantly lower in both groups and systolic blood pressure and diastolic blood pressure were lower in the health management group than those in the traditional management group,total compliance and satisfaction rate in the health management group were higher than those in the traditional management group,the incidence of complications was lower in the health management group than in the traditional management group,and the differences were statistically significant(P<0.05).Conclusion:The health management platform based on self-management theory as the core can promote the improvement of self-management ability and compliance of hyper

关 键 词：高血压 自我管理理论 健康管理平台 依从性 并发症 

分 类 号：R544.1[医药卫生—心血管疾病]