中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2015年
4期
285-290
,共6页
温秀芹%刘菊红%赵洁%常春%曾庆奇%郑韵婷
溫秀芹%劉菊紅%趙潔%常春%曾慶奇%鄭韻婷
온수근%류국홍%조길%상춘%증경기%정운정
高血压%健康素养%健康状况
高血壓%健康素養%健康狀況
고혈압%건강소양%건강상황
Hypertensive%Health literacy%Health status
目的:探讨团队式个体化健康管理对社区高血压患者健康素养及健康状况的影响。方法这次研究属于自身前后对照的实验研究,采用两阶段整群随机抽样方法,首先从德胜社区23个居委会中随机抽取2个居委会,然后从抽中的2个居委会获得高血压患者名单,在名单中每隔5个抽取1例,干预前共抽取470例,干预后共抽取444例作为研究对象,干预前后两组患者在年龄(岁)(67.2±9.8,66.5±10.5)、性别(男性占47.0%,44.1%)、民族(汉族占93.8%,92.3%)、婚姻状况(在婚者占91.3%,88.9%)等社会人口学特征方面具有可比性(t=1.447χ2=0.774、1.595、2.555,均有P>0.05)。自2013年7月德胜社区卫生服务中心对辖区高血压患者进行团队式个体化健康管理干预,1年后,比较干预前后高血压患者健康素养及健康状况的变化。结果健康管理干预后,高血压患者具备基本健康素养的比例由38.5%提高到53.4%:其中健康知识的平均知晓率由65.3%提高到75.3%;利用卫生服务技能的平均正确率由49.1%提高到70.9%;行为生活方式方面:饮食行为总均分由35.6提高到37.1,运动行为总均分由17.1提高到21.3,自我管理行为在自测血压、严格按医嘱服药、控制盐摄入等方面干预后(74.4%、87.6%、80.0%)高于干预前(61.3%、68.3%、62.2%),差异有统计学意义(χ2=16.813、48.295、52.058,P<0.05)。健康管理干预后,高血压患者自评健康状况明显好于干预前,血压控制率由72.9%提高到79.5%,差异均有统计学意义(P<0.05)。结论团队式个体化健康管理可明显提高社区高血压患者的健康素养水平,促进其健康状况的改善。
目的:探討糰隊式箇體化健康管理對社區高血壓患者健康素養及健康狀況的影響。方法這次研究屬于自身前後對照的實驗研究,採用兩階段整群隨機抽樣方法,首先從德勝社區23箇居委會中隨機抽取2箇居委會,然後從抽中的2箇居委會穫得高血壓患者名單,在名單中每隔5箇抽取1例,榦預前共抽取470例,榦預後共抽取444例作為研究對象,榦預前後兩組患者在年齡(歲)(67.2±9.8,66.5±10.5)、性彆(男性佔47.0%,44.1%)、民族(漢族佔93.8%,92.3%)、婚姻狀況(在婚者佔91.3%,88.9%)等社會人口學特徵方麵具有可比性(t=1.447χ2=0.774、1.595、2.555,均有P>0.05)。自2013年7月德勝社區衛生服務中心對轄區高血壓患者進行糰隊式箇體化健康管理榦預,1年後,比較榦預前後高血壓患者健康素養及健康狀況的變化。結果健康管理榦預後,高血壓患者具備基本健康素養的比例由38.5%提高到53.4%:其中健康知識的平均知曉率由65.3%提高到75.3%;利用衛生服務技能的平均正確率由49.1%提高到70.9%;行為生活方式方麵:飲食行為總均分由35.6提高到37.1,運動行為總均分由17.1提高到21.3,自我管理行為在自測血壓、嚴格按醫囑服藥、控製鹽攝入等方麵榦預後(74.4%、87.6%、80.0%)高于榦預前(61.3%、68.3%、62.2%),差異有統計學意義(χ2=16.813、48.295、52.058,P<0.05)。健康管理榦預後,高血壓患者自評健康狀況明顯好于榦預前,血壓控製率由72.9%提高到79.5%,差異均有統計學意義(P<0.05)。結論糰隊式箇體化健康管理可明顯提高社區高血壓患者的健康素養水平,促進其健康狀況的改善。
목적:탐토단대식개체화건강관리대사구고혈압환자건강소양급건강상황적영향。방법저차연구속우자신전후대조적실험연구,채용량계단정군수궤추양방법,수선종덕성사구23개거위회중수궤추취2개거위회,연후종추중적2개거위회획득고혈압환자명단,재명단중매격5개추취1례,간예전공추취470례,간예후공추취444례작위연구대상,간예전후량조환자재년령(세)(67.2±9.8,66.5±10.5)、성별(남성점47.0%,44.1%)、민족(한족점93.8%,92.3%)、혼인상황(재혼자점91.3%,88.9%)등사회인구학특정방면구유가비성(t=1.447χ2=0.774、1.595、2.555,균유P>0.05)。자2013년7월덕성사구위생복무중심대할구고혈압환자진행단대식개체화건강관리간예,1년후,비교간예전후고혈압환자건강소양급건강상황적변화。결과건강관리간예후,고혈압환자구비기본건강소양적비례유38.5%제고도53.4%:기중건강지식적평균지효솔유65.3%제고도75.3%;이용위생복무기능적평균정학솔유49.1%제고도70.9%;행위생활방식방면:음식행위총균분유35.6제고도37.1,운동행위총균분유17.1제고도21.3,자아관리행위재자측혈압、엄격안의촉복약、공제염섭입등방면간예후(74.4%、87.6%、80.0%)고우간예전(61.3%、68.3%、62.2%),차이유통계학의의(χ2=16.813、48.295、52.058,P<0.05)。건강관리간예후,고혈압환자자평건강상황명현호우간예전,혈압공제솔유72.9%제고도79.5%,차이균유통계학의의(P<0.05)。결론단대식개체화건강관리가명현제고사구고혈압환자적건강소양수평,촉진기건강상황적개선。
Objective To explore the effect of team-based individualized health management on health literacy and health status among hypertensive patients in community. Method This study was a self-controlled quasi-experimental design. A two-stage cluster random sampling method was used. Two neighborhood committees among 23 neighborhood committees in Desheng community were randomly sampled. The name list of hypertensive patients were obtained from the 2 sampled neighborhood committees, getting one from each five, 470 in total before intervention and 444 in total after. The two groups of patients before and after intervention had comparability in the social demographic characteristics as the age (67.16± 9.84, 66.47 ± 10.50 years), the gender (the male accounted for 47.00%and 44.10%), the ethnicity (the Han accounted for 93.80%and 92.30%) and the marital status(the married accounted for 91.30%, 88.90%)(t=1.447 χ2 =0.774, 1.595, 2.555, P>0.05). Since July 2013, Desheng community health service center intervened the hypertensive patients by team-based individualized health management. After one year, we compared the change of their health literacy and health status. Result After health management, the proportion of hypertensive patients with adequate health literacy increased from 38.50% to 53.40%, The average rate of health knowledge awareness among them increased from 65.30% to 75.30%. The average accuracy of health services utilization skills of them increased from 49.10%to 70.90%, lifestyle behaviors in dietary and in exercise the average increase was from 35.55, 17.07 to 37.05, 21.28 respectively, after the intervention the patients did better work in self management behavior, such as self-test of blood pressure, medication compliance and control of salt intake (74.40%, 87.60%, 80.00%) were obviously better than before intervention (61.30%, 68.30%, 62.20%), and the differences were statistically significant (χ2 =16.813, 48.295, 52.058, P<0.05). After health management, the self-report health was better among hypertensive patients. The proportion of them with normalized blood pressure increased from 72.90% to 79.50%, and the difference was statistically significant (P<0.05). Conclusion Team-based individualized health management could increase health literacy of hypertensive patients in community and improve their health status obviously.