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目的探讨以中华传统养生观念为基础的高血压自我管理模式对农村高血压患者的干预效果。方法于2013年8月—2014年7月对北京市延庆县井庄镇20个行政村的237例高血压患者进行为期12个月的中华传统养生观念现场干预。干预前后分别调查了209例和187例高血压患者。比较高血压患者干预前后自我管理知识知晓得分、自我管理行为依从性得分及情绪状态得分。结果高血压患者干预后自我管理知识知晓得分、自我管理行为依从性得分均高于干预前,焦虑、抑郁得分均低于干预前(P<0.05)。结论以中华传统养生观念为基础的高血压自我管理模式是有效、可行的,该模式可以应用于农村慢性病管理工作中。
Objective To explore the effect of self-management of hypertension based on the concept of traditional Chinese health care in rural hypertensive patients. Methods A total of 237 hypertensive patients from 20 administrative villages in Jingzhuang Town, Yanqing County, Beijing were enrolled in this study from August 2013 to July 2014 for a field intervention of 12 months. 209 and 187 hypertensive patients were investigated before and after the intervention. Compare the scores of self-management knowledge and self-management behavior compliance scores and emotional state before and after intervention in hypertensive patients. Results The scores of self-management knowledge-based scores and self-management behavioral compliance scores of hypertension patients before intervention were higher than those before intervention, and anxiety and depression scores were lower than those before intervention (P <0.05). Conclusion Hypertension self-management model based on Chinese traditional concept of health preservation is effective and feasible. This model can be applied to the management of chronic diseases in rural areas.