高血压自我管理方法(高血压俱乐部)初探

Pilot study of self-management approach for Hypertension

[目的 ] 了解高血压自我管理健康教育课程的近期效果 ,预试验慢性病自我管理方法在上海的可行性。 [方法 ] 在某社区成立一个高血压自我管理小组 ,由 2名小组长按照指导手册指导组员一起学习高血压自我管理。每月活动一次 ,每次 1.5小时。采用定性、定量研究方法综合评价其 6个月后的近期效果 ,并收集参与者对该课程的看法、意见、建议。 [结果 ] 高血压自我管理近期效果明显 ,提高了参加者自我管理高血压的技能、信心 ,高血压管理和控制情况得到了改善。用非药物措施控制血压的比例增加了 10 %～ 40 % ,6个月后 ,收缩压平均降低了 15mmHg ,舒张压平均降低了 8mmHg。[结论 ] 慢性病自我管理方法在上海社区完全可行 ;该种病人教育形式适合我国的文化传统。

Objectives] To evaluate the short-term effectiveness of hypertension self-management course and pilot the feasibility of chronic disease self-management approach in Shanghai.[Method] A hypertension self-management group was established in one community, two trained leaders were responsible to lead the course to the participants once a month according to Leader's Manual. Both quantitative and qualitative methods were used to evaluate the short-term(six months) effect, the participants' perception and suggestion of hypertension self-management course. [Results]Short-term evaluation showed that after six months hypertension self-management course participants' self-management skills and confidence were improved, their hypertension symptoms improved and blood pressure lowered. The proportion of participants using different non-medicine measures to manage hypertension increased from 10 percent to 40 percent. Their average systolic pressure lowered 15 mmHg, diastolic pressure lowered 8 mmHg in six months.[Conclusion] Self-management approach for chronic disease is feasible in Shanghai and is accepted by Chinese culture.