论文部分内容阅读
目的:评价社区高血压患者自我管理项目的效果。方法:按照以群落为基础的随机对照试验研究设计,将738例高血压患者分成干预组和对照组,干预组患者接受高血压自我管理健康教育项目课程,9个月后比较两组在自我管理行为、健康状况、卫生服务利用、心血管系统和并发症等方面的差异。结果:干预后两组患者自我管理行为中的认知性症状管理实践及按照要求规律服药间差别有统计学意义(P<0.01);干预后两组的门急诊次数、健康状况评价指标、心功能分级和并发症方面统计均有差异(P<0.05)。结论:南京市高血压自我管理项目的实施,增加了参加者的自我管理知识,培养了健康的行为,改善了躯体和精神部分健康状况、自我效能,减少就诊次数,缓解症状和预后。
Objective: To evaluate the effect of community-based self-management of hypertensive patients. Methods: According to community-based randomized controlled trial design, 738 hypertensive patients were divided into intervention group and control group. Patients in intervention group were given hypertension self-management health education program. Nine months later, Behavior, health status, utilization of health services, cardiovascular system and complications. Results: The management of cognitive symptoms in self-management behaviors and the differences in medication according to the required rules after intervention were statistically significant (P <0.01). The number of emergency department visits, health status evaluation indexes, There were differences in functional grading and complications (P <0.05). CONCLUSIONS: The implementation of the Hypertension Self-Management Project in Nanjing has increased participants’ self-management knowledge, cultivated healthy behaviors, improved physical and mental health, self-efficacy, reduced attendance, and relieved symptoms and prognosis.