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目的分析自我管理小组在山区高血压患者管理中的效果,为社区卫生服务机构慢性病管理提供依据。方法按照自愿参加原则对高血压患者进行分组,共10个自我管理小组103例,开展6次自我管理小组活动。干预前后进行问卷调查及体格测量,对运动、吸烟、饮酒、食盐摄入状况和生活影响度及有关身体测量指标进行比较。结果经过自我管理小组6次活动后,高血压患者运动行为、腰围、收缩压和生活影响度与干预前比较,差异均有统计学意义(P<0.05)。因患病引起的情绪低落、遵医嘱服药及行为生活方式的调整对生活影响度变化有显著差异(P<0.05)。结论自我管理小组在山区高血压患者管理中对患者运动、腰围、收缩压及生活影响度等方面具有一定的效果。
Objective To analyze the effect of self-management team in the management of hypertension in mountainous areas and provide the basis for the management of chronic diseases in community health service institutions. Methods According to the principle of voluntary participation, patients with hypertension were divided into groups, a total of 10 self-management groups of 103 cases, to carry out 6 self-management group activities. Before and after the intervention questionnaire and physical measurement, sports, smoking, alcohol consumption, salt intake and life impact and related body measurements were compared. Results After six times of self-management group exercise, there were significant differences in exercise behavior, waist circumference, systolic blood pressure and life impact between before and after intervention (P <0.05). Due to illness caused by depression, prescribed medication and behavioral adjustment of lifestyle changes have significant differences in life (P lt; 0.05). Conclusion The self-management group has certain effect on patient’s movement, waist circumference, systolic blood pressure and life influence in the management of hypertension in mountainous areas.