朱兰, 吴克明, 凌枫, 高俊岭, 刘德安. 上海市某社区高血压群组干预管理效果评价[J]. 上海预防医学, 2009, 21(6): 253-256.
引用本文: 朱兰, 吴克明, 凌枫, 高俊岭, 刘德安. 上海市某社区高血压群组干预管理效果评价[J]. 上海预防医学, 2009, 21(6): 253-256.
ZHU Lan, WU Ke-ming, LING Feng, GAO Jun-ling, LIU De-an. Evaluation of the effectiveness of the group interference-management model for hypertension[J]. Shanghai Journal of Preventive Medicine, 2009, 21(6): 253-256.
Citation: ZHU Lan, WU Ke-ming, LING Feng, GAO Jun-ling, LIU De-an. Evaluation of the effectiveness of the group interference-management model for hypertension[J]. Shanghai Journal of Preventive Medicine, 2009, 21(6): 253-256.

上海市某社区高血压群组干预管理效果评价

Evaluation of the effectiveness of the group interference-management model for hypertension

  • 摘要: 目的 评价上海市某社区高血压群组干预管理模式实施6个月后的效果。方法 按照随机对照试验研究设计,将369名参加该研究的高血压病人随机分为185名干预组和184名对照组。干预组接受高血压群组干预管理模式,对照组接受常规的高血压三级管理模式。然后比较两组病人在项目实施前和实施6个月后在生活方式相关行为、自我管理行为、自我效能、健康状况、卫生服务利用情况和血压控制方面的变化。结果 干预组6个月后在生活方式相关行为改变方面明显提高(P&<0.05),并明显高于干预后的对照组(P&<0.05)。在部分自我管理行为(服药依从性、医患交流)、部分自我效能(症状管理自我效能)、健康状况4个方面的变化值(精力、健康担忧、健康自评、情绪低落),明显好于对照组(P均&<0.05)。6个月内看门诊次数平均比对照组少0.74次(P&<0.05);6个月内住院次数平均比对照组减少了0.07次(P&<0.05);6个月后干预组病人平均比对照组多降低收缩压4.06 mmHg,多降低舒张压2.16 mmHg (P均&<0.05)结论 社区高血压群组干预管理模式较传统的高血压三级管理模式在改善生活方式相关行为、改善自我管理行为、自我效能、健康状况、减少卫生服务利用、降低血压等方面效果更好。

     

    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.

     

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