CAJ | 학술논문

目的：探讨社区高血压患者开展自我管理培训后的自我健康管理效果。方法2012年6~12月选取黄桷坪辖区6个社区居委会内居住的高血压患者112例，以居委会为单位，分为观察组和对照组，各56例。对照组患者采取常规高血压3级管理，观察组患者在常规管理基础上成立自我管理小组并开展自我管理培训，12个月后评价两组患者血压控制情况。结果12个月后，观察组患者血压控制情况显著提高，膳食习惯、行为习惯、运动方式及时间有显著变化，遵医行为有了大幅提高，高血压知识知晓率显著提高，自我监测血压技能掌握例次增多，血压控制情况良好，与对照组比较，差异均有统计学意义（P<0．01）。结论在社区建立高血压自我管理小组，对高血压患者进行自我管理培训，能有效提高社区高血压患者自我管理能力，增强其遵医行为及健康行为，从而有效控制高血压，有助于提高社区高血压患者的生活质量，降低社区高血压患者心脑血管疾病的发生率及病死率。
목적：탐토사구고혈압환자개전자아관리배훈후적자아건강관리효과。방법2012년6~12월선취황각평할구6개사구거위회내거주적고혈압환자112례，이거위회위단위，분위관찰조화대조조，각56례。대조조환자채취상규고혈압3급관리，관찰조환자재상규관리기출상성립자아관리소조병개전자아관리배훈，12개월후평개량조환자혈압공제정황。결과12개월후，관찰조환자혈압공제정황현저제고，선식습관、행위습관、운동방식급시간유현저변화，준의행위유료대폭제고，고혈압지식지효솔현저제고，자아감측혈압기능장악례차증다，혈압공제정황량호，여대조조비교，차이균유통계학의의（P<0．01）。결론재사구건립고혈압자아관리소조，대고혈압환자진행자아관리배훈，능유효제고사구고혈압환자자아관리능력，증강기준의행위급건강행위，종이유효공제고혈압，유조우제고사구고혈압환자적생활질량，강저사구고혈압환자심뇌혈관질병적발생솔급병사솔。
Objective To explore health self-management effects after self-management training for hypertensive pa-tients in community. Methods A total of 112 hypertensive patients from 6 community neighborhood committees of Huangjueping District were selected from June to December of 2012 and randomized into experiment group and control group according to the neighborhood committee,56 cases in each group. The control group adopted conventional 3-level management of hypertension,while the experiment group established self-management team and developed of self-management training on the basis of conventional management. The control of blood pressure in the two groups were evaluated 12 months later. Results 12 months later,the control of blood pressure in the experiment group improved more obviously,the dietary habit,behavioral habit,motion mode and time in the experiment group changed significantly,the treatment compliance and awareness rate of knowledge about hypertension were increased remarkably and skills of self monitoring of blood pressure increased with good control of blood pressure ,which compared with the control group,the differences all had statistically significant difference(P<0.01). Conclusion Establishment of hyper-tension self-management teams in the community for self-management training on hypertensive patients can effectively improve the ability of self-management of the patients and enhance compliance behavior and health behavior ,leading to control blood pres-sure in hypertensive patients effectively,improve the survival and life quality,and reduce the incidence and mortality of cardio-vascular and cerebrovascular disease in community.