CAJ | 학술논문

目的评价慢性病保健模型在社区高血压管理中应用的效果.方法采用实验对照研究方法,在杭州市朝晖社区选取高血压患者300名,分为实验组和对照组.实验组按照慢性病保健模型设计干预措施,对照组仍按社区原有方法管理,9个月后比较两组患者干预前后相关指标变化.结果干预前后,实验组在饮酒习惯、每日用盐量(降低0.78g)、舒张压(降低2mmHg)、体质指数(降低0.4)和SF-36生理得分(降低1.7)上有改善(P＜0.05),实验组在体重指数和SF-36生理总分上的变化值高于对照组.结论慢性病保健模型通过对患者饮食、运动及其他健康相关危险因素的引导干预达到提高健康产出的目的,对我国的社区高血压管理有一定借鉴意义.
목적 평개만성병보건모형재사구고혈압관리중응용적효과.방법 채용실험대조연구방법,재항주시조휘사구선취고혈압환자300명,분위실험조화대조조.실험조안조만성병보건모형설계간예조시,대조조잉안사구원유방법관리,9개월후비교량조환자간예전후상관지표변화.결과 간예전후,실험조재음주습관、매일용염량(강저0.78g)、서장압(강저2mmHg)、체질지수(강저0.4)화SF-36생리득분(강저1.7)상유개선(P＜0.05),실험조재체중지수화SF-36생리총분상적변화치고우대조조.결론 만성병보건모형통과대환자음식、운동급기타건강상관위험인소적인도간예체도제고건강산출적목적,대아국적사구고혈압관리유일정차감의의.
Objective To evaluate the effectiveness of Chronic Care Model in hypertension management in community health services.Methods Three hundred patients diagnosed with hypertension participated in this study and were divided into intervention and control groups.In the following 9 months,intervention measures based on the Chronic Care Model were delivered to intervention group,while the conventional measures to control group.Data collected before and after the intervention were analyzed uuing descriptive statistics,t-test,x2-test and analysis of covariance by SPSS16.0 for Windows.Results The intervention group had statistically significant positive effectiveness in drinking habit,daily salt intake(decreased 0.78g),diastolic blood pressure (decreased 2mmHg),BMI(decreased 0.4) and SF-36 physical component summary score(decreased 1.7)(P＜0.05).The intervention group had better improvement in BMI and SF-36 physical component summry score than the control group.Conclusion The health outcomes of patients with hypertension could be improved by applying the Chronic Care Model featured diet,exercise habits and other health related factors management.