高校社区高血压患者自我管理对其相关行为的影响

Influence of self-management on correlation behavior of hypertension patients in university community

目的在高校高血压患者社区管理中引入患者自我管理,观察其对高血压患者相关行为的影响。方法对86例高血压患者发放自我管理手册,通过健康教育(讲座、面对面辅导、宣传资料)等形式培训自我管理技能,对照目标自我管理,责任医生随访并判定自我管理效果。结果 86例高血压患者控制钠盐,控制饮食、油脂摄入,规律运动,自测血压,规律服药比例均有不同程度地提高;高血压患者自我管理半年后血压显著下降,与管理前比较差异具有统计学意义(P<0.05),平均体重无明显变化,差异无统计学意义(P>0.05)。结论在社区医生指导下设立行为目标,进行自我管理,坚持科学的生活方式对控制高血压是有效的。

Objective To apply self-management in community management for hypertension patients in university community, and to observe its influence on their correlation behavior.Methods A total of 86 hypertension patients received self-management training by handbook and health education (lecture, face-to-face counseling, promotional material). Follow-up was made by doctors to evaluate effects of self-management. Results The 86 hypertension cases all had various degree of increased proportion of sodium salt control, diet control, grease ingestion, regular exercise, blood pressure self-monitoring, and regular medication. The patients had remarkably decreased blood pressure after self-management for half a year, and the difference with that before management had statistical significance (P<0.05). Their body weight had no obvious changes, and the difference had no statistical significance (P>0.05).Conclusion It is effective in controlling hypertension by setting goals under doctor's guidance, applying self-management, and insisting scientific living style.