杨晓丹, 周卫国, 黄炜雯, 黄卉. “1+2+X”模式在社区高血压自我管理中的应用及评价[J]. 上海预防医学, 2020, 32(9): 776-779. DOI: 10.19428/j.cnki.sjpm.2020.19651
引用本文: 杨晓丹, 周卫国, 黄炜雯, 黄卉. “1+2+X”模式在社区高血压自我管理中的应用及评价[J]. 上海预防医学, 2020, 32(9): 776-779. DOI: 10.19428/j.cnki.sjpm.2020.19651
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YANG Xiao-dan, ZHOU Wei-guo, HUANG Wei-wen, HUANG Hui. Application and evaluation of the "1+2+X" model in community-based hypertension self-management[J]. Shanghai Journal of Preventive Medicine, 2020, 32(9): 776-779. DOI: 10.19428/j.cnki.sjpm.2020.19651
Citation: YANG Xiao-dan, ZHOU Wei-guo, HUANG Wei-wen, HUANG Hui. Application and evaluation of the "1+2+X" model in community-based hypertension self-management[J]. Shanghai Journal of Preventive Medicine, 2020, 32(9): 776-779. DOI: 10.19428/j.cnki.sjpm.2020.19651
shu

“1+2+X”模式在社区高血压自我管理中的应用及评价

Application and evaluation of the "1+2+X" model in community-based hypertension self-management

    摘要
  • 摘要:
    目的评价“1+2+X”的新型模式在社区高血压自我管理活动中的运用效果。
    方法从上海市浦东新区花木街道在管的高血压患者中招募高血压自我管理小组成员205人，随机分为干预组和对照组。对照组使用传统的自我管理小组模式进行活动，干预组采用“1”名小组长加上“2”名副组长加上“X”个社会资源共同参与管理的新型管理模式进行活动。观察对比实施活动1年前、后，患者的知信行、血压控制率以及对小组活动的满意度等方面2次问卷调查数据的变化。
    结果经过1年活动后，干预组和对照组患者的高血压知识知晓率分别为92.23%和70.59%，控制血压信心合格率分别为77.67%和60.78%，健康行为合格率分别为77.67%和72.55%，对小组满意度情况分别为76.70%和61.76%，干预组均优于对照组，差异有统计学意义(P＜0.05)。
    结论“1+2+X”的新型管理模式能有效提高高血压自我管理的效能，具有在社区高血压自我管理中推广的前景。

     

    Abstract:
    ObjectiveTo evaluate the new model of "1+2+X" in the self-management of hypertension in community.
    MethodsA total of 205 patients with hypertension were enrolled in the hypertension self-management group in Huamu subdistrict of Pudong New Area, Shanghai.The patients were randomly divided into intervention group and control group.The control group used the traditional self-management group model, whereas the intervention group implemented a new mode of "1" group leader plus "2" deputy group leaders plus "X" social resources to participate in the self-management.Changes in the patients′ knowledge, awareness, behavior, blood pressure control, and group activity satisfaction were collected by questionnaires and then compared before and after the implementation of the self-management.
    ResultsAfter one-year implementation, the proportion of the patients being aware of knowledge in the intervention group and control group was 92.23% and 70.59%, respectively; the qualified proportion of patients′ confidence on blood pressure control was 77.67% and 60.78%, respectively; the qualified proportion of health behavior was 77.67% and 72.55%, respectively; and the proportion of being satisfied with self-management was 76.70% and 61.76%, respectively.In all the results, the intervention group was better than the control group, with statistical significance (P < 0.05).
    ConclusionThe new management model of "1+2+X" effectively improves the efficiency of hypertension self-management, which could be recommended in community-based hypertension self-management.

     

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