CAJ | 학술논문

目的：了解社区内高血压患者之间的网络关系及特征，探讨高血压患者依托社会网络关系组建和扩展社区自我管理的可行性。方法2013年1-5月，采用多阶段随机抽样的方法抽取北京市西城区4个社区卫生服务站1074例高血压患者，采用问卷调查和测量的方法调查性别、年龄、血压等基本情况，采用提名生成法对社会网络度数中心度进行调查。使用构成比、度数中心度、Spearman等级相关等进行统计描述和分析。结果社区高血压患者社会网络度数中心度为0的占31.0%（333/1074），为1的占41.4%（445/1074），≥2的占27.6%（296/1074）。社会网络度数中心度为1的社区高血压患者中，64.5%（287/445）的患者选择家属为其社会网络关系对象；社会网络度数中心度≥2的社区高血压患者中，61.1%（181/296）的患者选择社区内病友为其社会网络关系对象。社区高血压患者社区活动组织参与率为8.7%（93/1074），社区高血压患者的社会网络度数中心度与参加社区活动组织数呈正相关关系（rs =0.521，P<0.05）。患者之间的小群体中存在中心人物。结论社区高血压患者之间社会网络特征较松散，社区活动组织内部的高血压患者之间网络关系较为密切，可作为社区高血压自我管理小组覆盖范围扩展的基础，社会网络分析有助于完成自我管理小组长的选择。
목적：료해사구내고혈압환자지간적망락관계급특정，탐토고혈압환자의탁사회망락관계조건화확전사구자아관리적가행성。방법2013년1-5월，채용다계단수궤추양적방법추취북경시서성구4개사구위생복무참1074례고혈압환자，채용문권조사화측량적방법조사성별、년령、혈압등기본정황，채용제명생성법대사회망락도수중심도진행조사。사용구성비、도수중심도、Spearman등급상관등진행통계묘술화분석。결과사구고혈압환자사회망락도수중심도위0적점31.0%（333/1074），위1적점41.4%（445/1074），≥2적점27.6%（296/1074）。사회망락도수중심도위1적사구고혈압환자중，64.5%（287/445）적환자선택가속위기사회망락관계대상；사회망락도수중심도≥2적사구고혈압환자중，61.1%（181/296）적환자선택사구내병우위기사회망락관계대상。사구고혈압환자사구활동조직삼여솔위8.7%（93/1074），사구고혈압환자적사회망락도수중심도여삼가사구활동조직수정정상관관계（rs =0.521，P<0.05）。환자지간적소군체중존재중심인물。결론사구고혈압환자지간사회망락특정교송산，사구활동조직내부적고혈압환자지간망락관계교위밀절，가작위사구고혈압자아관리소조복개범위확전적기출，사회망락분석유조우완성자아관리소조장적선택。
Objective To understand the social network and its characteristics among hypertensive patients in the com-munity and explore the feasibility of establishing and expanding self-management group relying on the social networking of the pa-tients. Methods 1 074 hypertensive patients were extracted from 4 community health service stations of Xicheng district with Multi-stage random sampling method. They were investigated about age,gender and blood pressure using questionnaires and physical examination. Degree centrality was investigated by nomination generation method. Useing proportion,degree centrality and Spearman's rank correlation were adopted to describe and analyze. Results Social network degree centrality in patients with hypertension was 0 accounting for 31. 0%(333/1 074),1 accounting for 41. 4%(445/1 074),greater than or equal to 2 ac-counting for only 27. 6%( 296/1 074 ). 64. 5%( 287/445 ) of the patients whose centrality degree was 1 chose their family members as the main social networks relationship;61. 1%(181/296) of centrality degree being more than 2 chose community wardmates. 8. 7%(93/1 074) of the patients took part in the community activities and the number was positively correlated with social network degree centrality of hypertensive patients(rs =0. 521,P <0. 05). There were key persons in the small group within the same community activity organization. Conclusion Social network among the hypertensive patients of communi-ty is loose,but it's more closely tied between patients within the same organization,which can be used as a basis to expand the coverage of hypertension self-management group. Social network analysis helps to select leaders in the self management group.