Abstract:
Objective To evaluate the six -month impact of centain community -based hypertension group interference- management in Shanghai.
Methods The study was a randomized controlled trial. 369 patients with hypertension were randomized into 2 groups:intervention group(n=185) received the group interference- management and control group(n=184) received routine hyper tension management services. Before the study and 6 months after the beginning of experiment, questionnaire survey was conducted to investigate the changes in life style related behavior, in self-management behaviors, self-efficacy, health status, health service utilization and status of blood pressure control.
Results The subjects in the intervention group showed greater improvement in compliance to change in life style related behavior, self-management behaviors(medication, interflow with doctor) self- efficacy to manage symptom, energy, health distress, health self- evaluation,and low spirit in comparison with the control group (all
P 〈 0.05). They also had fewer visits of 0.74 frequency to outpatient service on average (
P 〈0.05), fewer hospitalization of 0.07 frequency on average (
P 〈 0.05). The value of systolic blood pressure and diastolic blood pressure in the intervention group decreased by 4.06 mmHg and 2.16 mmHg significantly more than those in the control group (all
P 〈 0.05).
Conclusion The community-based hypertension group interference-management model is more effective in improving change in life style related behavior, self- management behaviors, self- efficacy, health status, decrease of health service utilization and blood pressure control than the routine hypertension management services.