中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
1期
27-30
,共4页
高血压%健康教育%治疗效果%社区
高血壓%健康教育%治療效果%社區
고혈압%건강교육%치료효과%사구
Hypertension%Health education%Treatment outcome%Community
目的 评价在福州市鼓山镇城乡结合部开展高血压患者自我健康管理俱乐部的实施效果.方法 2010年7月至10月在福州市鼓山镇开展高血压患者自我健康管理俱乐部的健康教育项目,研究对象为社区高血压患者33例.在俱乐部设立理论课程和实践课程,自我健康管理干预前后,分别评定患者的高血压控制率,高血压意识情况,及患者的健康状况,比较干预前后的变化情况.结果 干预前收缩压＜140 mm Hg(1 mm Hg=0.133 kPa)且舒张压＜90 mm Hg的学员16例(16/33),干预后19例(19/31),高血压控制率提高,但干预前后比较差异无统计学意义(x2=1.058,P＞0.05).干预前后学员对“正常血压值”和“应按医嘱服药控制高血压”的正答率较高,分别为(27/33)例和(26/31)例,前后比较差异无统计学意义(x2=0.047、1.242,P＞0.05).其余“35岁以后每年应测1次血压”等各项的正答率干预后比干预前明显提高,差异有统计学意义(x2=10.810、4.280、4.039、14.249、10.573、14.539,P＜0.05).干预后所有学员至少每月测量1次血压,其中至少每周测量1次的学员为28例(28/31),与干预前相比有明显改善,差异有统计学意义(x2=11.532,P＜0.05).健康状况调查显示,干预后学员整体健康状况优于干预前,差异有统计学意义(Z=-2.034,P＜0.05).结论 社区健康教育的实施可提高患者高血压意识、改善患者健康状况,城乡结合部高血压患者自我健康管理俱乐部具有可行性,可推广应用.
目的 評價在福州市鼓山鎮城鄉結閤部開展高血壓患者自我健康管理俱樂部的實施效果.方法 2010年7月至10月在福州市鼓山鎮開展高血壓患者自我健康管理俱樂部的健康教育項目,研究對象為社區高血壓患者33例.在俱樂部設立理論課程和實踐課程,自我健康管理榦預前後,分彆評定患者的高血壓控製率,高血壓意識情況,及患者的健康狀況,比較榦預前後的變化情況.結果 榦預前收縮壓＜140 mm Hg(1 mm Hg=0.133 kPa)且舒張壓＜90 mm Hg的學員16例(16/33),榦預後19例(19/31),高血壓控製率提高,但榦預前後比較差異無統計學意義(x2=1.058,P＞0.05).榦預前後學員對“正常血壓值”和“應按醫囑服藥控製高血壓”的正答率較高,分彆為(27/33)例和(26/31)例,前後比較差異無統計學意義(x2=0.047、1.242,P＞0.05).其餘“35歲以後每年應測1次血壓”等各項的正答率榦預後比榦預前明顯提高,差異有統計學意義(x2=10.810、4.280、4.039、14.249、10.573、14.539,P＜0.05).榦預後所有學員至少每月測量1次血壓,其中至少每週測量1次的學員為28例(28/31),與榦預前相比有明顯改善,差異有統計學意義(x2=11.532,P＜0.05).健康狀況調查顯示,榦預後學員整體健康狀況優于榦預前,差異有統計學意義(Z=-2.034,P＜0.05).結論 社區健康教育的實施可提高患者高血壓意識、改善患者健康狀況,城鄉結閤部高血壓患者自我健康管理俱樂部具有可行性,可推廣應用.
목적 평개재복주시고산진성향결합부개전고혈압환자자아건강관리구악부적실시효과.방법 2010년7월지10월재복주시고산진개전고혈압환자자아건강관리구악부적건강교육항목,연구대상위사구고혈압환자33례.재구악부설립이론과정화실천과정,자아건강관리간예전후,분별평정환자적고혈압공제솔,고혈압의식정황,급환자적건강상황,비교간예전후적변화정황.결과 간예전수축압＜140 mm Hg(1 mm Hg=0.133 kPa)차서장압＜90 mm Hg적학원16례(16/33),간예후19례(19/31),고혈압공제솔제고,단간예전후비교차이무통계학의의(x2=1.058,P＞0.05).간예전후학원대“정상혈압치”화“응안의촉복약공제고혈압”적정답솔교고,분별위(27/33)례화(26/31)례,전후비교차이무통계학의의(x2=0.047、1.242,P＞0.05).기여“35세이후매년응측1차혈압”등각항적정답솔간예후비간예전명현제고,차이유통계학의의(x2=10.810、4.280、4.039、14.249、10.573、14.539,P＜0.05).간예후소유학원지소매월측량1차혈압,기중지소매주측량1차적학원위28례(28/31),여간예전상비유명현개선,차이유통계학의의(x2=11.532,P＜0.05).건강상황조사현시,간예후학원정체건강상황우우간예전,차이유통계학의의(Z=-2.034,P＜0.05).결론 사구건강교육적실시가제고환자고혈압의식、개선환자건강상황,성향결합부고혈압환자자아건강관리구악부구유가행성,가추엄응용.
Objective To evaluate the impacts of health self-management club on hypertensive patients who lived in Gushan town of Fuzhou.Methods Thirty-three community hypertensive patients who partitipated in health self-management club during July and October 2010 were enrolled in this investigation.Control and awareness of high blood pressure and patients' health condition were compared before and after the intervention.Results Normal blood pressure (systolic pressure ＜ 140 mm Hg (1 mm Hg =0.133 kPa),diastolic pressure ＜90 mm Hg) was found in 19 patients after intervention ((19/31 vs 16/33),x2 =1.058,P ＞ 0.05).Meanwhile,awearness rate of normal blood pressure and mediciation order-guided drug taking was increased to 27/33 and 26/31,respectively (x2 vales were 0.047 and 1.242,respectively ; both P ＞ 0.05).Other information inluding annual blood pressure measurement in ＞ 35 years old populations was well known by more participants (x2 vales were 10.810,4.280,4.039,14.249,10.573and 14.539,respectively; all P＜ 0.05).Since intervention,blood pressure was measured at least once a month in all the subjects,and 28/31 patients measured blood pressure weekly (x2 =11.532,P ＜ 0.05).Health condition of the patients were significantly improved after intervention (Z =-2.034,P ＜ 0.05).Conclusions Community health education could raise patients' awareness of hypertension and improve their health condition.Health self-management club may be feasible to hypertensive patients living at rural-urban fringe.
