摘要
目的比较社区自我管理模式与三级管理模式对高血压病人血压分级、控制率的影响,探索有效的高血压管理模式,为开展社区卫生服务提供依据。方法采用以社区为基础的完全随机实验,将413例高血压患者,随机分为自我管理模式组(实验组)和高血压三级管理模式组(对照组),比较实验组(208名)和对照组(205名)6个月后在血压分级、血压控制率等方面的变化。结果实验组高血压三级患者构成比从29.32%下降到17.31%,对照组从31.71%下降到23.42%,实验组下降的幅度高于对照组(P<0.05);实验组血压控制率从23.60%上升到57.20%,对照组从26.80%上升到36.60%,实验组上升的幅度高于对照组(P<0.01)。结论高血压自我管理模式较三级管理模式在控制血压方面效果更好。
Objective To compare the community-based self-management model and category management model for the treatment and effective management of hypertension patients.Methods According to community-based randomized controlled trial designation,413 voluntary participants with hypertention were randomly divided into self-management group（the experimental group） and three category management group（the control group）.After six months,the change of blood pressure and blood pressure control rates of the two groups were compared.Results The experimental group showed a dereased ratio of severe hypertention patients（from 29.32% to 17.31%）,better than that of the control group（from 31.71% to 23.42%,P0.05）.The blood pressure control rate of the experimental group increased from 23.60% to 57.20%,better than that of the control group（from 26.80% to 36.60%,P0.01）.Conclusion The community-based hypertension self-management model is more effective in the improvement of blood pressure control than the category management model.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2010年第3期309-310,共2页
Chinese Journal of Public Health
关键词
高血压
自我管理
三级管理
hypertension
self-management
categery management
