广州市南华西社区高血压自我管理强化教育的效果评估

目的评估社区高血压自我管理强化教育的效果。方法按便利抽样的方法,在广州市海珠区南华西街抽取121位高血压患者作为研究对象,用完全随机分配的方法将研究对象分成干预组（60人）和对照组（61人）。对照组进行常规的健康教育和随访管理,干预组在对照组基础上,增加高血压自我管理强化教育。结果干预后干预组的高血压知识正确率增幅（25.49%）大于对照组（11.11%）,自信心得分的增幅均大于对照组;体育锻炼率（91.67%）高于对照组（60.66%）,合理膳食率（90.00%）高于对照组（49.18%）,高血压控制率（93.33%）高于对照组（80.33%）;差异有统计学意义（P〈0.05）。结论高血压自我管理的强化教育可以提高并巩固高血压知识和自我效能,改善体育锻炼、合理膳食和血压控制。

Evaluation of the Effect of Intensive Education for Self-Management on Patients with Hypertension in Nanhuaxi Street, Guangzhou

Objective To evaluate the effect of intensive education on hypertension self-management.Methods By convenient sampling method,121 hypertensive patients were selected as research subjects in Nanhuaxi Street,Haizhu District,Guangzhou,and randomly separated into test group（60 patients） and conventional group（61 patients）.The conventional group was carried out mainly with health education in the collective way and follow-up blood pressure management.While the intensive education for self-management was added to the test group.Results After the intervention,the increase of hypertension knowledge correct rate（25.49%） in the test group was higher than that of the conventional group（11.11%）,the increase of self-confidence scores was also higher than that of the conventional group,exercise rate（77.95%） in the test group was higher than that of the conventional group（59.06%）,reasonable diet rate（90.00%） in the test group was higher than that of the conventional group（49.18%）,the control rate of hypertension（93.33%） in the test group higher than that of the conventional group（80.33%）,the differences were all statistically significant（P 0.05）.Conclusion Comparing to the conventional group,adding the intensive education of hypertension self-management,could not only improve and consolidate hypertension knowledge and self efficacy,but also promote physical exercise,reasonable diet and the control rate of hypertension.