慢性病健康指导站对社区高血压患者防治的干预效果评价

Chronic Disease Health Guide for Prevention and Treatment of Hypertensive Patients in a Community Intervention Effect

目的观察慢性病健康指导站管理模式对社区高血压患者的干预效果,进一步提高高血压控制水平。方法选择全程参加慢性病健康指导站的社区高血压患者183例,组织开展健康教育、集中活动和个性化指导等活动,对患者实施综合干预,测量并记录患者血压变化情况。结果对慢性病健康指导站管理模式干预前后高血压患者在高血压保健基础知识认知情况、生活方式和行为变化情况(合理膳食、适当运动和科学用药)、自我监测等方面进行比较,差异有统计学意义(P<0.05)。结论慢性病健康指导站管理模式有利于帮助高血压患者获得解决问题的知识和技能,建立科学的治疗行为,改善生活方式和生活质量,使血压控制更为理想,达到了提高干预效果的预期目标。

OBJECTIVE To observe the chronic disease management model of health guidance for patients with hypertension in community intervention, so as to further raise the level of control, METHODS Select 183 cases of hypertensive patients in a community of fullparticipation in chronic disease health guidance, implement the integrated intervention to the patients by health education, focusing on activities, as well as personalized guidance, measure and record changes in blood pressure values. RESULTS By comparing the basic knowledge of hypertension in the patients with hypertension in health cognition, lifestyle behavior changes（reasonable diet, appropriate exercise, scientific medicine） , self-monitoring, and so on, before and after health education management mode of chronic disease interventions, differences are statistically significant（P〈0.05）. CONCLUSION The management mode of Chronic disease health education for hypertension patients in community help patients to gain knowledge and skills to solve problems, establish a scientific treatment of behaviour, improve the quality of life, get better blood pressure control, and to achieve the objectives of improving the effects of intervention.