高血压患者第四医学模式干预效果评价

Effect of fourth medical behavior intervention on hypertension patients

目的评价高血压患者第四医学模式干预效果。方法将327例社区高血压患者随机分为第四医学模式组(干预组)和传统健康教育模式组(对照组),干预1年后,比较干预组(161例)组和对照组(166例)血压控制率、生命质量各维度得分等方面的变化。结果干预组血压控制率从19.88%升高为48.45%,对照组从17.47%升高为25.90%,干预组优于对照组(P<0.05);干预组健康调查量表(SF-36)各维度得分均高于对照组(P<0.05)。结论第四医学模式社区干预在血压控制和提高生命质量方面效果显著。

Objective To evaluate intervention effects of the fourth medical behavior on patients with hypertension.Methods Totally 327 hypertension patients were randomized into intervention and control group.One year after the intervention,the differences between the two groups in blood pressure control and quality of life were compared.Results After the intervention,the intervention group was obviously superior to the control group in the rate of blood pressure control.The blood pressure control rate of the intervention group increased from 19.88% to 48.45%,whereas that of the control group increased from 17.47% to 25.90%（P0.05）.The scores of the MOS 36-Item Short-Form Health Survey（SF-36） of the intervention group were higher than those of the control group in all dimensions（P0.05）.Conclusion The fourth medical model intervention could remarkably improve blood pressure control rate and quality of life among hypertention patients.