CAJ | 학술논문

目的：分析广东深圳与澳大利亚高血压患者通过建立自我管理小组进行自我健康管理的效果。方法选取广东深圳与澳大利亚作为对应目标，分别在广东深圳12个社区与澳大利亚6个社区中各选取自我管理的高血压患者800例，对比分析二者之间在自我管理方面的具体效果。结果两组患者在高血压的诊断标准常识、理想血压数据值、药物治疗方式、非药物治疗方式等方面的知识普及率都明显优于自我管理前，管理前后差异有统计学意义（P＜0.05）；两组患者在运动量、营养摄入量、规范测压、规范服药等方面效果均优于管理前，而澳大利亚组的上升幅度明显高于广东组，二者差异具有统计学意义（P＜0.05）。结论高血压患者可以通过建立自我管理小组进行自我健康管理的方式，平衡膳食，调整饮食习惯，规范用药，纠正不良生活作风。自我管理效果的高低优劣，与自我管理小组的组织和活动效率以及患者的自觉性息息相关，通过强化组织管理、规范个人活动，能够有机地建立一种行之有效的高血压疾病管理模式。
목적：분석엄동심수여오대리아고혈압환자통과건립자아관리소조진행자아건강관리적효과。방법선취엄동심수여오대리아작위대응목표，분별재엄동심수12개사구여오대리아6개사구중각선취자아관리적고혈압환자800례，대비분석이자지간재자아관리방면적구체효과。결과량조환자재고혈압적진단표준상식、이상혈압수거치、약물치료방식、비약물치료방식등방면적지식보급솔도명현우우자아관리전，관리전후차이유통계학의의（P＜0.05）；량조환자재운동량、영양섭입량、규범측압、규범복약등방면효과균우우관리전，이오대리아조적상승폭도명현고우엄동조，이자차이구유통계학의의（P＜0.05）。결론고혈압환자가이통과건립자아관리소조진행자아건강관리적방식，평형선식，조정음식습관，규범용약，규정불량생활작풍。자아관리효과적고저우렬，여자아관리소조적조직화활동효솔이급환자적자각성식식상관，통과강화조직관리、규범개인활동，능구유궤지건립일충행지유효적고혈압질병관리모식。
Objective A comparative analysis of self-health management results through the establishment of self-management teams between Guangdong, Shenzhen and Australia hypertensive patients. Methods Shenzhen and Australia was selected as the corresponding target, respectively, in Shenzhen, 800 patients with hypertension self-management in 12 communities Guangdong and 6 communities Australia were selected, the specific effects between the two in self-management were comparatively analyzed. Results The two groups of patients in terms of knowledge penetration diagnostic criteria common sense, the ideal blood pressure data values, drug treatment, non-drug treatment of hypertension and other self-management were much better than before,with statistically significant difference (P < 0.05); the amount of exercise, nutrition intake, specification manometry, standardized medication management and other aspects between the two groups were better than before, while the rise in Australia was significantly higher than that in Guangdong group, the difference was significant, with statistics significance (P < 0.05). Conclusion The patients with hypertension can be self-health management through the establishment of self-managed team approach, a balanced diet, diet adjustments, standard medication, correct bad life style. The level of the pros and cons of self-management effectiveness, and efficiency of the organization and activities of the management team and the patient's self-consciousness is closely related to the organization by strengthening management, standardized personal activities, can organically build an effective management of hypertensive disorders.