摘要
目的在农村社区开展高血压自我管控活动,对控制效果展开分析。方法在农村社区选择符合相关研究标准的患者共计123例,分为对照组与观察组,对照组采用常规高血压治疗控制方法,观察组在使用常规手段的同时组织全员参加长达6个月的管控活动。结果观察组用药允从性、服药持续性自我效能得分均明显好于对照组(P<0.05);体质指数和血压控制情况观察组也要好于对照组,2组差异有统计学意义(P<0.05)。结论在农村社区开展高血压自我管控活动对患者的血压控制效果达到预期,患者在允从性和坚持性两方面表现较好,非常值得在农村社区推广。
Objective To evaluate the effects of self-control on blood pressure control in hypertensive patients in ru-ral communities.MethodsA total of 123 hypertensive patients who met the relevant research criteria were selected and di-vided into a control group and a trial group in rural communities. The patients in the control group were treated with the rou-tine therapy of hypertension, and the patients in the trial group received the routine therapy combined with the self-control ac-tivity for 6 months.ResultsThe scores of self-efficacy, in terms of drug compliance and drug persistence, in the trial groupwere significantly higher than those in the control group (P< 0.05). The BMI value and blood pressure control level in the trialgroup were better than those in the control group, and there were statistically significant differences (both P< 0.05).ConclusionIn rural communities, the hypertension self-control activities are effective in controlling the blood pressure of the pa-tients. The drug compliance and drug persistence of the patients are better. It is worthy of promoting.
引文
[1]潘桂琼,江小娟,冯树梅,等.开展自我管理小组对社区高血压患者规范化管理的影响[J].泰山医学院学报,2013,34(11):823-825.
[2]傅华,傅东波,丁永明,等.高血压自我管理[M].第2版.上海:复旦大学出版社,2012:1-142.
[3]缪琴,缪英,张片红,等.自我管理小组在社区高血压管理中的效果评价[J].中国预防医学杂志,2014,15(8):772-774.
[4]中华人民共和国卫生部,中华人民共和国科学技术部,中华人民共和国统计局.中国居民营养与健康状况[J].中国心血管病研究杂志,2004,2(12):919-922.
[5]王建骏,朱理敏,王丽芬.健康教育提高社区高血压患者服药依从性和高血压控制率[J].实用全科医学,2008,6(6):607-609.
[6]姚晓荣.农村开展高血压病的健康教育探讨[J].甘肃医药,2011,30(10):623-624.
[7]韩占军,郭春平.社区健康自我管理小组在高血压管理中的效果分析[J].中国社区医师,2015,31(13):146-147.
[8]耿瑞瑾.自我管理在高血压患者中血压控制效果的研究[D].昆明:昆明医科大学,2014.