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城镇社区老年高血压患者自我管理现状调查及对策
引用本文:李华萍,郑翠红,曾丽华,宁晓东,黄湘晖.城镇社区老年高血压患者自我管理现状调查及对策[J].中国护理管理,2009,9(9):28-30.
作者姓名:李华萍  郑翠红  曾丽华  宁晓东  黄湘晖
作者单位:1. 福建医科大学护理学院,350004,福州市
2. 福建省级机关医院护理部
摘    要:目的:改善老年高血压患者自我管理现状。方法:采用自编老年高血压患者自我管理状况问卷,对福州市某社区342位老年高血压患者进行了调查。结果:①老年高血压患者自我管理现状不容乐观,自我管理状况佳者仅占18.1%;②老年高血压患者自我管理存在诸多薄弱环节,诸如饮食控制良好者占16.4%,按时监测血压者占19.3%等;③老年高血压患者自我管理的主要影响因素有:年龄(P=0.011)、性别(P=0.000)、文化程度(P=0.000)。结论:目前老年高血压患者自我管理状况不容乐观,社区人员应致力于增强老年高血压患者自我管理意识;准确评估患者自我管理中的薄弱环节并给予针对性的指导及措施;加强对文化程度低、男性患者的自我管理监督力度。

关 键 词:高血压  老年患者  自我管理  对策

A review of the investigation and strategies in the self-manegement of the elderly patients with hypertension in urban community
LI Hua-ping,ZHENG Cui- hong,ZENG Li-hua,et al..A review of the investigation and strategies in the self-manegement of the elderly patients with hypertension in urban community[J].Journal of Chinese Nursing Management,2009,9(9):28-30.
Authors:LI Hua-ping  ZHENG Cui- hong  ZENG Li-hua  
Institution:LI Hua-ping,ZHENG Cui- hong,ZENG Li-hua,et al. The Nursing Collage of Fujian Medical University,Fuzhou,350004 China
Abstract:Objective: The study aimed to improve the self-management status of elderly patients with hypertension. Methods: A questionnaire of the self-management for elderly patients with hypertension was used to collect data, which was a self-made scale. Totally, 342 elderly patients from the community of Fuzhou were recruited to accomplish the questionnaire. Results: ① The self-management status of elderly patients with hypertension was dissatisfied with the percentage of good self-management 'status being only 18.1%; ② There were a lot of weak points in the self-management of elderly patients with hypertension, such as having the ability of diet control (16.4%), measuring blood pressure on time (19.3%), and so on. ③ The factors that affected the ability of self-management of elderly patients with hypertension were age (P = 0.011), gender (P 〈 0.001), and education level (P 〈 0.001). Conclusion: The community staff should improve the elderly hypertension patients'consciousness of self-management, evaluate the weak points of selfmanagement exactly and offer the strategies, and strengthen the supervision to the patients with the lower educational level and male patients.
Keywords:hypertension  elderly patient  self-management  strategies  
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