CAJ | 학술논문

目的：探讨同伴支持配合社区干预对空巢老年高血压患者治疗依从性、自我管理及生存质量的影响。方法采用便利抽样的方法抽取在社区卫生中心建立档案的68例空巢老年高血压患者，用电脑生成随机数字法随机分成观察组和对照组，每组各34例。观察组采用同伴支持配合社区干预法，对照组采用常规社区干预。应用问卷调查及SF-36量表对老年患者的治疗依从性、自我管理能力和生存质量进行调查。分析两组空巢老年高血压患者的治疗依从性、自我管理及生存质量。结果观察组患者的治疗依从性(服药次数依从性、服药量依从性、症状改善时依从性、症状恶化时依从性及总治疗依从性)显著高于对照组(P<0.05)。干预后，两组患者的自我管理能力均显著增强(P<0.05)，且观察组患者的自我管理能力显著高于对照组(P<0.05)。观察组患者的生存质量(生理机能、生理职能、躯体疼痛、一般健康状况、一般状况、社会功能、情感职能、精神健康及健康变化)显著优于对照组(P<0.01)。结论同伴支持配合社区干预对空巢老年高血压患者的治疗依从性和自我管理能力均有显著效果，进而提升了患者的生存质量临床效果显著，具有应用价值。
목적：탐토동반지지배합사구간예대공소노년고혈압환자치료의종성、자아관리급생존질량적영향。방법채용편리추양적방법추취재사구위생중심건립당안적68례공소노년고혈압환자，용전뇌생성수궤수자법수궤분성관찰조화대조조，매조각34례。관찰조채용동반지지배합사구간예법，대조조채용상규사구간예。응용문권조사급SF-36량표대노년환자적치료의종성、자아관리능력화생존질량진행조사。분석량조공소노년고혈압환자적치료의종성、자아관리급생존질량。결과관찰조환자적치료의종성(복약차수의종성、복약량의종성、증상개선시의종성、증상악화시의종성급총치료의종성)현저고우대조조(P<0.05)。간예후，량조환자적자아관리능력균현저증강(P<0.05)，차관찰조환자적자아관리능력현저고우대조조(P<0.05)。관찰조환자적생존질량(생리궤능、생리직능、구체동통、일반건강상황、일반상황、사회공능、정감직능、정신건강급건강변화)현저우우대조조(P<0.01)。결론동반지지배합사구간예대공소노년고혈압환자적치료의종성화자아관리능력균유현저효과，진이제승료환자적생존질량림상효과현저，구유응용개치。
Objective To investigate the clinical effects of peer support and community intervention on com-pliance, self-management and quality of life (QOL) in empty-nest elderly patients with hypertension. Methods Con-venience sampling was carried out to select 68 empty-nest elderly patients with hypertension, which were randomly di-vided into study group and control group, with 34 cases in each group. Patients in study group received peer support and community intervention, while patients in control group received routine community intervention. The compliance, self-management and quality of life were recorded though SF-36 scale and questionnaire survey. Results The compli-ance of medicine frequency, medicine dose, compliance when symptom relieved, compliance when symptom progressed and total compliance in study group were significantly higher than those in control group (P<0.05). After intervention, the self-management score was significantly improved in both groups (P<0.05), but the score in study group was signifi-cantly higher than that in control group (P<0.05). All the indexes of QOL in study group, including physiological func-tion, body pain, general health status, general condition, social function, emotional function, emotional health, health changes, were significantly better than those in control group after intervention (P<0.01). Conclusion Peer support combined with community intervention has a great effects on compliance and self-management in empty-nest elderly patients with hypertension, thus can improve their quality of life. It worth for clinical application.