医共体协作健康管理对农村高血压患者血压及自我管理行为的影响

Effect of hospital alliance collaborated hypertension management on blood pressure and self-management behavior of rural patients with hypertension

目的运用医共体协作健康管理模式对农村高血压患者进行干预,探讨促进农村高血压患者健康管理的有效方法。方法选取15家医共体成员单位原发性高血压住院患者470例为研究对象,按照住院时间分为对照组和干预组各235例。对照组采用常规护理干预;干预组建立医院及15家医共体单位组成的干预小组,实施医共体协作的高血压健康管理模式。比较干预前及干预6个月两组血压及自我管理行为。结果干预后,干预组血压显著低于对照组,自我管理行为评分显著高于对照组(均P<0.01)。结论医共体协作健康管理模式有助于提高农村高血压患者自我管理行为,使血压得到有效控制。

Objective To evaluate the effect of hospital alliance collaborated hypertension management mode in rural patients with hypertension,and to explore an effective method for promoting health management in rural patients with hypertension.Methods Totally,470 patients with primary hypertension hospitalized in 15 medical institutions of a hospital alliance were assigned to a control group or an intervention group chronologically,with 235 patients in each group.The control group was given conventional nursing intervention,while the intervention group received collaborated hypertension management provided by the intervention team involving staff from both hospital and 15 grass-root health institutions.Blood pressure and self-management behavior in both groups were evaluated before and at 6-month of intervention.Results The intervention had significantly lower blood pressure,but higher self-management behavior compared with the control group after the intervention(P<0.01 for both).Conclusion Hospital alliance collaborated hypertension management mode contributes to enhancing self-management behavior of rural patients with hypertension and achieving blood pressure control.