CAJ | 학술논문

目的：探讨耳穴按摩联合自我管理模式对高血压患者血压和生存质量的影响。方法将59例高血压患者随机分为试验组29例和对照组30例，对照组施行常规治疗及健康教育，观察组在常规治疗的基础之上实施耳穴按摩及自我管理模式，疗程2个月，以降血压疗效和简明健康调查量表（36-Item Short-Form Health Survey，SF-36）进行疗效综合评价。结果观察组经耳穴按摩融合自我管理模式干预治疗后，收缩压和舒张压与对照组比较，差异均有统计学意义（P<0.05）；血压疗效比较，差异均有统计学意义（P<0.05）；生存质量方面，两组干预前后生存质量8个维度指标差异均有统计学意义（P<0.05）；且观察组生存质量各项指标与对照组比较，差异也有统计学意义（P<0.05）。结论耳穴按摩融合自我管理模式，能降低患者血压，改善患者生理、心理和社会适应性，提高生存质量。
목적：탐토이혈안마연합자아관리모식대고혈압환자혈압화생존질량적영향。방법장59례고혈압환자수궤분위시험조29례화대조조30례，대조조시행상규치료급건강교육，관찰조재상규치료적기출지상실시이혈안마급자아관리모식，료정2개월，이강혈압료효화간명건강조사량표（36-Item Short-Form Health Survey，SF-36）진행료효종합평개。결과관찰조경이혈안마융합자아관리모식간예치료후，수축압화서장압여대조조비교，차이균유통계학의의（P<0.05）；혈압료효비교，차이균유통계학의의（P<0.05）；생존질량방면，량조간예전후생존질량8개유도지표차이균유통계학의의（P<0.05）；차관찰조생존질량각항지표여대조조비교，차이야유통계학의의（P<0.05）。결론이혈안마융합자아관리모식，능강저환자혈압，개선환자생리、심리화사회괄응성，제고생존질량。
Objective To observe the effect of auricular massage combined with self-management on blood pressure and the quality of life of hypertensive patients. Methods Totally 59 hypertensive patients were randomly divided into experiment group ( n=29) and control group (n=30). Patients in control group received conventional therapy and health education, but those in experiment group were treated with ear massage combined with self-management on the basis of conventional therapy for 2 months. Patients ’ blood pressure change was observed and The 36-Item Short-Form Health Survey (SF-36) was used to evaluate the total effect. Results In respect of systolic and diastolic blood pressure, there were significantly differences between two groups ( P<0.05) and the comparison of efficiency of blood pressure indicated significant differences between two groups ( P<0.05). Intra/inter group comparison of eight dimensions of quality of life before and after intervention showed statistical significance ( P<0.05). Conclusion Auricular massage combined with self-management could lower blood pressure, improve the physiology, psychology and social adaptability of hypertensive patients , and thus improve their quality of life.