浅谈高血压自我管理与规范管理的益处

目的：评价高血压自我管理项目实施6个月后对血压控制率的影响。方法：采用以社区为基础的随机对照试验研究设计，将100名自愿参加此活动的高血压患者随机分成实验组和对照组。实验组采用高血压自我管理模式，对照组采用常规规范管理模式。比较实验组和对照组病人在实施自我管理模式6个月后血压控制及社区医生对病人随访服务方面的变化。结果：与对照组相比，实施自我管理6个月后，实验组病人的收缩压和舒张压控制合格比例均高于对照组（P<0.001）。实验组得到医生提供的自我交谈、引导性想象、耐力锻炼、疲劳的管理、肌肉放松、情绪低落的管理、合理膳食、药物合理应用等随访支持服务比例明显高于对照组（P 值均<0.05）。结论：高血压自我管理模式对高血压病人血压控制合格率及社区医生随访服务支持程度均高于高血压常规管理模式。

Discussion on the benefits of self-management and standard management of hypertension

Objective： To evaluate the effects on blood pressure control rate after hypertension self-management program implemented for 6 months. Methods： To adopt community-based randomized controlled trial study design. 100 hypertensive patients participated in this activity were randomly divided into experimental and control groups. Experimental group adopted hypertension self-management mode, the control group used conventional standard management mode. To compare the changes of blood pressure control and follow-up services by community physicians in patient of the two groups after self-management model implemented for six months. Results： After six months implementation of self-management, the control qualified proportion of systolic and diastolic blood pressure of experimental group patients were higher than that of the control group （P〈0.001）. Experimental group was provided the self-talk, guiding imagination, endurance exercise, fatigue management, muscle relaxation, low mood management, reasonable diet, rational use of medicines and other support services for follow-up which were significantly higher than the control group （P〈0.05）. Conclusion： The blood pressure control passing rate of hypertension self-management in patients with hypertension and the community doctors follow-up services supporting extent is higher than the hypertension conventional management.