群组干预管理对社区高血压患者的生命质量影响评价

Evaluation of the impact of community hypertension group-interference-management model on patient quality of lives

目的 :对社区高血压患者进行群组干预管理,分析评价实施6个月后患者的生命质量变化情况。方法:按照随机对照试验研究设计,将400名参加该研究的高血压病人随机分为200名干预组和200名对照组。干预组接受高血压群组干预管理,对照组接受常规的高血压三级管理。6个月后比较2组病人在项目实施前后的生命质量量表(SF-36)评分及部分生物检测指标的变化情况。结果 :干预6个月后,除生理机能和躯体疼痛外,干预组患者的生理职能、情感职能、精力、精神健康、社会功能以及一般健康状况等SF-36各维度变化值均明显高于对照组(P<0.05)。6个月后干预组患者的收缩压和舒张压分别比对照组多下降4.84 mmHg和2.07 mmHg(P均<0.05)。体质指数、腰臀比的变化无显著差异。结论 :与常规的三级管理相比较,社区高血压群组干预管理能更好地提高患者的生命质量,改善患者的血压控制。

Objective： To practice hypertension group-interference-management in community and to analyze the change of life quality of patients after 6-month-implementation. Methods ： The study conducted a randomized controlled triM, in which 400 patients with hypertension were randomized into two groups. Intervention group（ n=200 ） received the group-interference-management and control group （ n=200 ） received routine hypertension management services. Before the study and 6 months after the beginning of experiment, questionnaire survey was conducted to investigate the changes in life quality scale（ SF-36 ） and changes of biological indexes, respectievly. Results： Except physical function （ PF ） and bodily pain （ BP ）, the subjects in the intervention group showed greater improvement in role-physical （ RP ）, role-emotional （ RE ）, vitality （ VT ）, mental health （ MH ）, social functioning （ SF ） and general health （ GH ） in comparison with the control group （ P〈0.05 ）. The value of systolic blood pressure and diastolic blood pressure in the intervention group decreased by 4.84 mmHg and 2.07 mmHg, more than those in the control group （ P〈0.05 ）. Changes of body mass index and waist-to-hip ratio showed no statistical significance. Conclusion： Compared with the routine hypertension management services, the community-based hypertension group-interference- management model is more effective in the improvement of life quality of patients and blood pressure control.