高血压患者的自我管理模式及血压控制效果研究

Research on Hypertension Self-management and Blood Pressure Control

目的综合评估高血压患者自我管理模式对患者健康状况及血压控制效果.方法选取武警边防部队士官学校医院250名自愿参与研究的高血压教职工和学生为研究对象,随机将患者分为实验组与对照组,其中实验组给予自我管理模式,而对照组则给予常规高血压三级管理模式,对比分析8个月后2组患者的健康状况及血压控制变化情况.结果 2组患者经过6个月的干预之后,依据临床疗效评估标准对其健康改善情况及血压控制情况进行综合评估,其中实验组患者的健康改善情况明显优于对照组(P<0.05),舒张压、收缩压以及高血压控制率方面差异无统计学意义(P>0.05).结论分析自我管理模式中患者的健康改善情况及血压控制效果,明显优于传统的高血压三级管理模式,值得临床推广应用.

Objective Evaluate the effect of hypertension self-management on patient's health and blood pressure control. Methods Two hundred and fifty volunteers with hypertension were assigned into experiment group with self-management and control group with common three level management. After 8 months,the health and blood pressure change of all patients were analyzed. Res ults After 6 months intervention, the patients in experiment group got much better improvement in health than the patients in control group according to evaluation criteria of clinical efficacy(P < 0.05). There were no significant differences in diastolic, systolic blood pressures and hypertension control rate(P > 0.05). Conclus ion Self-management can reduce blood pressure and improve health notably,which worth popularizing and applying in the clinic practice.