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目的:探讨健康自我管理模式信息平台的推广对社区老年性高血压病干预和治疗的效果。方法:选择广州市荔湾区逢源社区300名老年性高血压病患者并采取分层抽样,随机分成两组。观察组150例,在常规西药降压治疗、常规社区高血压慢病管理及常规健康教育基础上同时利用信息平台在社区推广居民健康自我管理模式进行健康自我管理,推广中医药养生保健和中医适宜技术的应用;对照组150例,采用常规西药降压药治疗,常规社区高血压慢病管理及常规健康教育。两组均3个月为1疗程,连续随访4个疗程。观察对比老年性高血压患者的健康知识知晓率,健康行为形成率,血压控制率和中医药养生保健、中医适宜技术使用率。结果:疗程结束后,观察组健康知识知晓率,健康行为形成率,血压控制率和中医药养生保健、中医适宜技术使用率均高于对照组(P<0.05)。结论:健康自我管理模式信息平台应用对于社区老年性高血压病患者可以提高其高血压知识知晓率,健康行为形成率,血压控制率和中医药养生保健、中医适宜技术使用率。
Objective: To explore the effect of promotion of health self-management information platform on the intervention and treatment of community-based hypertension. Methods: A total of 300 elderly hypertensive patients from Fengyuan Community, Liwan District, Guangzhou City were selected and stratified by random sampling. The patients were randomly divided into two groups. Observation group of 150 cases, in the conventional antihypertensive treatment of Western medicine, conventional community-based chronic hypertension management and routine health education based on the use of information platform in the community to promote residents’ health self-management mode of self-health management, promotion of traditional Chinese medicine health care and appropriate TCM The application of technology; control group of 150 cases, the use of conventional antihypertensive drugs Western medicine, conventional community chronic hyperthyroidism management and routine health education. Two groups were 3 months for a course of treatment, continuous follow-up of 4 courses. To observe and compare the awareness rate of health knowledge, health behavior formation rate, blood pressure control rate and traditional Chinese medicine health care in TCM in elderly hypertensive patients and the appropriate technology utilization rate of TCM. Results: After the course of treatment, the awareness rate of health knowledge, the rate of healthy behavior formation, the blood pressure control rate, the traditional Chinese medicine health care and the appropriate technical utilization rate of TCM in the observation group were all higher than those in the control group (P <0.05). Conclusion: The application of health self-management information platform can improve the knowledge of hypertension, the rate of healthy behavior formation, blood pressure control, traditional Chinese medicine health care, and the appropriate technology utilization rate of Chinese medicine in elderly patients with hypertension.