探讨社区高血压患者自我管理的效果评估

目的探讨分析社区小组干预对高血压患者自我管理的影响，为社区高血压管理提供依据。方法随机抽取2010年10月至2012年5月我院收治的社区高血压患者100例为研究对象，随机分为两组。对照组采用常规管理方法，实验组患者采用小组干预模式，对比观察两组患者干预后半年的自我管理隋况，包括遵医嘱服用控制高血压药物、调理饮食、稳定情绪、适当运动、定期复诊。结果实验组患者小组干预后，患者对自我管理的效果更好，遵医用药为90．00％、调理饮食为86．00％，稳定情绪为82．00％，适当运动为90％，定期复查为96．00％。对各个指标的正确回答率更高，与对照组比较，差异有统计学意义（P〈0．05）。结论在社区高血压管理过程中使用小组干预的效果较好，有助于提高患者的自我管理能力，值得应用。

The effect evaluation of self-management of hypertensive patients in community

Objective To analyze the impact of community group intervention on self-management of hypertensive patients, and provide a basis for community hypertension management. Methods From October 2010 to May 2012, 100 cases of community hypertension were randomly divided into two groups. Control group used conventional management methods, while experimental group was treated with group intervention. Compared self- management of two groups six months later, including prescribed medication for controlling high blood pressure drugs, conditioning diet, emotional stability, adequate exercise and regular return visit. Results Six months later, experimental group had better self-management, with 90.00% compliance of medication, 86.00% conditioning diet, 82.00% emotional stability, 90.00% adequate exercise, 96.00% regular return visit, a higher rate of correct answer to various indicators. The differences were statistically significant compared with control group（P 〈 0.05）. Conclusions Group intervention in community hypertension management has great performances, and is helpful to improve hypertensive patients＇ self-management skills, worthy of application.