开展自我管理小组对社区高血压患者规范化管理的影响

The effect on the systematic management of hypertension by development of self reliance patient group

目的通过采用循环互动的健康教育模式,在社区卫生服务中心开展高血压自我管理小组活动,探讨此方法对社区高血压患者规范化管理的影响。方法通过培训社区护士、设计调查问卷、制定小组活动计划,组织社区高血压患者参与小组活动,并将活动前后组员对高血压疾病知识知晓率、血压控制率,健康生活方式和行为习惯的建立,并发症的发生率等变化进行比较分析。结果 105名参加高血压自我管理小组活动的组员,活动后各项指标均比活动前有明显改善,患者服药依从性上升21.7%,发生药物不良反应人数下降35.5%,对高血压疾病知识知晓率提高62.9%、服药知识知晓率提高48.7%、践行健康生活方式的人数增加66.5%、对并发症预防知识知晓率提高了33.8%、自我监测血压人数增长44.6%。结论采用循环互动的健康教育模式在社区开展高血压自我管理小组活动,使社区高血压患者达到自我管理、互相支持的效果,从而更好地对社区高血压患者进行管理。

Objective： To explore the impact on the systematic management of hypertension by a reactive health educa- tion model of self reliance group in community centre setting. Methods： The compliance rate of the education on hyperten- sion was analyzed and compared; Control of blood pressure, change of healthy life style and behavior through training of community nurses, design of questionnaire, planning of group activities, organizing and coordinating discharged hyperten- sion patients to participate in the activities were carried out. Results： 105 hypertension participants of self reliance group had significant improvement in the pre and post indicators. Drug compliance rate was increased by 21.7%, medication re- action was reduced by 35.5%, awareness of hypertension was improved by 62.9%, usage of medication rate grew by 48. 7%, the implementation of healthy life style rate was increased by 66.5%, the knowledge for the prevention of complica- tion was escalated by 33.8% and self charting of blood pressure rate was increased by 44.6%. Conclusion： Reactive health education approach in community self reliance group activities can have systematic management of hypertension peo- ple in the community as a result of improved self managed care, well group support and better healthy style.