4C自我管理模式对社区高血压患者生存质量的影响

Effect of 4C self management mode on life quality of community hypertension patients

目的探讨4C自我管理模式对社区高血压患者生存质量的影响。方法将286社区高血压患者随机分为4C组143例和对照组143例,对照组实施社区健康教育,4C组在对照组基础上实施4C自我管理模式,比较2组患者焦虑、抑郁水平、生存质量及干预前后血压变化情况。结果干预后2组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)得分均降低;其中4C组SDS、SAS得分明显低于对照组(P<0.05);干预后4C组健康状况调查问卷(SF)-36量表评分高于对照组,差异有统计学意义(P<0.05)。干预后4C组收缩压(SBP)、舒张压(DBP)均低于干预前和对照组,各组间比较差异有统计学意义(P<0.05)。结论 4C自我管理模式能够改善社区高血压患者的心理状态,提高患者生存质量,控制患者血压,值得临床推广实践。

Objective To explore the effect of the 4C self management mode on the life quality of community hypertension patients .Methods 286 cases of community hypertension patients were randomly divided into the 4C group（143 cases） and the control group（143 cases） .The control group was implemented the community health edu‐cation ,while on this basis the 4C group was performed the 4C self management model .The levels of anxiety and de‐pression ,and quality of life were compared between the two groups ,and the changes of blood pressure before and af‐ter intervention were recorded in the two groups .Results The self‐rating depression scale（SDS） and the self‐rating anxiety scale（SAS） scores after intervention in the two groups were significantly decreased ;The SDS and SAS scores of the 4C group were significantly lower than those of the control group（P〈0 .05） .4C group SF‐36 scale score was significantly higher than that of the control group（P〈0 .05） ;The systolic blood pressure（SBP） and diastolic blood pressure（DBP） after intervention in the 4C group were significantly lower than those before intervention and in the control group ,the differences among them were statistically significant（P〈 0 .05） .Conclusion The 4C self manage‐ment mode can improve the psychological status of community hypertension patients ,improve the life quality ,control the blood pressure of patients ,and is worthy of clinical promotion .