摘要
目的:基于中医学健康管理模型分析长沙地区老年高血压患者自我管理现状。方法:选取湖南中医药大学第一附属医院、湖南省中医院、湖南省中医药研究院附属医院等医院的240例原发性老年高血压患者为实验组,同时纳入上述医院治疗的193例原发性中年高血压患者为对照组。应用自拟问卷以调查的形式对两组具有差异人口社会学特点的一般资料、自我行为管理、原发性高血压的控制情况等方面进行对比。结果:两组的婚姻情况、文化程度、医保费用支付情况、慢性病报销情况等方面比较,差异有统计学意义(P<0.05);对照组患者的舒张压与收缩压的数值高于实验组(P<0.05);对照组患者的饮食管理、病情监测、时间管理、情绪管理、用药管理、运动管理等方面评价及自我管理评分均低于实验组(P<0.05)。结论:中医学健康管理模型可促进长沙地区老年高血压患者加强自我管理水平,从而有效地控制原发性高血压,使病情稳定。
Objective:To analyze the self management present situation of elderly patients with hypertension in Changsha according to traditional Chinese medicine health management model.Methods:Totally 240 elderly patients with hypertension were selected from The First Affiliated Hospital of Hu’nan University of Chinese Medicine,Hu’nan Hospital of Chinese Medicine and Affiliated Hospital of Hu’nan Academy of Traditional Chinese Medicine,as experimental group,at the same time 193 cases of primary hypertension patients in middle-aged set as control group.A self-designed questionnaire was used to compare the general data,self-behavior management and control of essential hypertension between the two groups with different demographic and sociological characteristics.Results:The marriage,degree of education,health care costs payments,chronic conditions such as reimbursement comparison difference was statistically significant between experimental group and control group(P<0.05);The control group showed higher diastolic and systolic blood pressure than the experimental group(P<0.05);The control group showed lower diet management,disease monitoring,time management,emotional management,medication management,exercise managementthan and evaluation and self-management scores than experimental group(P<0.05).Conclusion:Traditional Chinese medicine health management model can effectively strengthen the self management of elderly patients with high blood pressure in Changsha region,so as to effectively control hypertension,and make the condition stable.
作者
叶舒婷
张稳
李霞
李苏
谭元生
YE Shu-ting;ZHANG Wen;LI Xia;LI Su;TAN Yuan-sheng(The First Affiliated Hospital of Hu'nan University of Chinese Medicine,Changsha Hu'nan 410007,China;Hu'nan University of Chinese Medicine,Changsha Hu'nan 410208,China)
出处
《中医药导报》
2019年第15期135-138,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金资助(81473616)
湖南省科技厅重点研发计划资助(2016DK2002)
湖南省教育厅重点项目资助(15A142)
湖南省中药粉体与创新药物省部共建国家重点实验室开放基金资助(ZYFT201503)
关键词
中医学健康管理模型
长沙地区
老年原发性高血压
自我管理
调查研究
Traditional Chinese Medicine health management model
Changsha region
elderly essential hypertension
self management
investigation and study
