社区卫生服务中心开展高血压自我管理小组活动效果评估

Effect Evaluation of Hypertension Self-management Group Activities in Community Health Service Center

目的:评估社区卫生服务中心开展高血压自我管理小组活动的效果。方法:选取自愿接受社区高血压自我管理小组活动的高血压患者352例为干预组;另选取高血压患者360例为对照组(接受常规的高血压三级管理模式)。比较两组干预前后患者高血压防治知识知晓、行为改变和血压控制情况。结果:干预后,干预组对8项高血压防治知识的知晓率均高于对照组,比较差异均有统计学意义(P<0.05);除"适量运动"外,干预组其他7项高血压相关行为改善程度均高于对照组,比较差异均有统计学意义(P<0.05);干预组收缩压和舒张压均低于对照组,比较差异均有统计学意义(P<0.05)。结论:社区卫生服务中心开展高血压自我管理小组活动取得了明显的效果,但仍需完善该活动模式,扩大该活动的实施范围。

Objective:To evaluate the effect of hypertension self-management group activities in community health service center.Method:A total of 352 hypertension patients who volunteered to participate in self-managed research were selected as intervention group,and another 360 patients with hypertension were selected as control group(accepted three-grade management of hypertension).The knowledge of hypertension prevention and treatment,behavior change and blood pressure control before and after intervention between two groups were compared.Result:After intervention,the awareness rate of 8 hypertension prevention and control knowledge in intervention group were higher than those of control group,the differences were statistically significant(P<0.05).Except for“moderate exercise”,the improvement of the other 7 hypertension related behaviors in intervention group were higher than those of control group,the differences were statistically significant(P<0.05).The systolic and diastolic pressure in intervention group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The community health service center has achieved a significant effect on the hypertension self-management group activities,but it still needs to improve the activity model and expand the scope of the activities.