CAJ | 학술논문

目的在高校高血压患者社区管理中引入患者自我管理, 观察其对高血压患者相关行为的影响.方法对86例高血压患者发放自我管理手册, 通过健康教育(讲座、面对面辅导、宣传资料)等形式培训自我管理技能, 对照目标自我管理, 责任医生随访并判定自我管理效果.结果 86例高血压患者控制钠盐, 控制饮食、油脂摄入, 规律运动, 自测血压, 规律服药比例均有不同程度地提高;高血压患者自我管理半年后血压显著下降, 与管理前比较差异具有统计学意义 (P<0.05), 平均体重无明显变化, 差异无统计学意义(P>0.05).结论在社区医生指导下设立行为目标, 进行自我管理, 坚持科学的生活方式对控制高血压是有效的.
목적 재고교고혈압환자사구관리중인입환자자아관리, 관찰기대고혈압환자상관행위적영향.방법 대86례고혈압환자발방자아관리수책, 통과건강교육(강좌、면대면보도、선전자료)등형식배훈자아관리기능, 대조목표자아관리, 책임의생수방병판정자아관리효과.결과 86례고혈압환자공제납염, 공제음식、유지섭입, 규률운동, 자측혈압, 규률복약비례균유불동정도지제고;고혈압환자자아관리반년후혈압현저하강, 여관리전비교차이구유통계학의의 (P<0.05), 평균체중무명현변화, 차이무통계학의의(P>0.05).결론 재사구의생지도하설립행위목표, 진행자아관리, 견지과학적생활방식대공제고혈압시유효적.
Objective To apply self-management in community management for hypertension patients in university community, and to observe its influence on their correlation behavior.Methods A total of 86 hypertension patients received self-management training by handbook and health education (lecture, face-to-face counseling, promotional material). Follow-up was made by doctors to evaluate effects of self-management. Results The 86 hypertension cases all had various degree of increased proportion of sodium salt control, diet control, grease ingestion, regular exercise, blood pressure self-monitoring, and regular medication. The patients had remarkably decreased blood pressure after self-management for half a year, and the difference with that before management had statistical significance (P<0.05). Their body weight had no obvious changes, and the difference had no statistical significance (P>0.05).Conclusion It is effective in controlling hypertension by setting goals under doctor's guidance, applying self-management, and insisting scientific living style.