摘要
目的:比较高血压自我管理模式与三级管理模式对高血压患者的血压控制以及生命质量的影响,为探索有效的高血压防治管理模式提供依据。方法:将高血压患者324例随机分为高血压自我管理模式组(实验组)和三级管理模式组(对照组)进行干预,一年后,比较实验组和对照组血压分级、血压控制以及生命质量等方面的变化。结果:干预后实验组血压分级优于对照组(P<0.05);干预后实验组血压控制率提高的幅度大于对照组(P<0.05);干预前后实验组和对照组SF-36各维度(对照组除PF)得分均高于干预前(P<0.05),干预后,实验组SF-36各维度(除PF和VT)得分均高于对照组(P<0.05)。结论:高血压自我管理模式较高血压三级管理模式在血压控制和提高患者生命质量方面效果更好。
Objective To compare the effect of community-based self-management mode with category management mode,and provide reference for exploring effective management mode on hypertension prevention.Methods 324 cases of patients with hypertension were randomly divided into self-management group（experimental group）and category management group（control group）.After one year＇s intervention,changes in patients＇blood pressure control and quality of life were comparatively studied.Results After being intervened,change of blood pressure in experimental group was better than that of control group（P〈0.05）.And the rate of blood pressure control in experimental group was significantly higher than that of control group（P〈0.05）.After being intervened,the scores of all the SF-36 dimensions in two groups were higher than those before being intervened（except for the index of PF in control group）.And after being intervened,the scores of all the SF-36 dimensions in experimental group were higher than those in control group（except for the index of PF and VT）（P〈0.05）.Conclusion The community-based hypertension self-management mode is more effective than category management mode in blood pressure control and improvement of QOL.
出处
《中国卫生事业管理》
北大核心
2011年第5期385-387,共3页
Chinese Health Service Management
基金
卫生部科学研究基金(项目号:WKJ2006-2-016)
关键词
高血压
高血压自我
三级管理
生命质量
hypertension
self-management
category management
quality of life.
