CAJ | 학술논문

目的探讨社区干预对老年高血压患者血压控制及生活质量的影响.方法对抗高血压药物治疗一年以上的378例老年高血压患者,实施以健康教育为主要内容的综合社区干预一年,于干预前后记录血压,并在给予统一指导语的前提下,进行生活质量综合评定问卷(GQOLI-74)、症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分.结果干预后老年高血压患者的血压数值继续下降,血压控制率由干预前的40.1%上升到67.7%(x2=57.59,P<0.05).躯体健康维度、心理健康维度、社会功能维度均好于干预前(P<0.05).而物质生活维度干预前后差异无统计学意义(t=0.383,P>0.05).以41分为SDS粗分分界线判断抑郁发生率,干预前22.7%,干预后12.5%,前后比较差异有统计学意义(x2=12.565,P<0.05).结论老年高血压患者在药物治疗的同时进行社区干预是控制血压,提高生活质量切实有效的措施.
목적 탐토사구간예대노년고혈압환자혈압공제급생활질량적영향.방법 대항고혈압약물치료일년이상적378례노년고혈압환자,실시이건강교육위주요내용적종합사구간예일년,우간예전후기록혈압,병재급여통일지도어적전제하,진행생활질량종합평정문권(GQOLI-74)、증상자평량표(SCL-90)、초필자평량표(SAS)、억욱자평량표(SDS)평분.결과 간예후노년고혈압환자적혈압수치계속하강,혈압공제솔유간예전적40.1%상승도67.7%(x2=57.59,P<0.05).구체건강유도、심리건강유도、사회공능유도균호우간예전(P<0.05).이물질생활유도간예전후차이무통계학의의(t=0.383,P>0.05).이41분위SDS조분분계선판단억욱발생솔,간예전22.7%,간예후12.5%,전후비교차이유통계학의의(x2=12.565,P<0.05).결론 노년고혈압환자재약물치료적동시진행사구간예시공제혈압,제고생활질량절실유효적조시.
Objective To assess the influence of community intervention on blood pressure and quality of life in aged patients with hypertension.Methods A total of 378 elderly hypertensive patients received community intervention with anti-high blood pressure agents for one year.Before and after intervention,blood pressure was recorded and genetic quality of life inventory(GQOLI-74),symptom checklist(SCL-90),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were carried out on the basis of giving unite guiding words.Results In addition to blood pressure degraded,the blood pressure control rate was improved after intervention(67.7% vs.40.1% before intervention,x2=57.59, P<0.05).Observation items of body health dimension,psychological health dimension,social function dimension were better than those recorded before intervention(P<0.05).But difference of the material life dimension was not statistically significant(P>0.05).With 41 scores as a SDS rude mark to judge the depression incidence.the incidence was decreased from 22.7% before intervention to 12.5%after intervention(x2=12.565,P<0.05).Conclusions Community intervention is a practical and valuable strategy for controlling high blood pressure and improving quality of life in aged patients.