农村高血压患者行为、认知、生活方式与防治模式的探索

目的通过对农村高血压患者行为因素、疾病认知、生活方式管理前后的比较，评价综合干预后的效果，从而探索适合本地区实际情况的农村高血压防治模式。方法通过对183例高血压患者建立信息库，实施分层随访管理，建立个性化干预方案。通过家庭医生指导高血压患者规范服药、适量运动、戒烟限酒、健康教育，建立高血压患者的自我管理模式。结果通过综合干预后，血压控制率为75．1％，高血压患者的行为因素、疾病认知、生活方式在干预管理前后明显变化，差异有统计学意义（P〈0．05）。结论对农村高血压患者采取综合干预自我管理模式能够改善患者的的行为、认知、生活方式，确实能有效地控制血压水平和防治高血压病。

Exploration of behavior, cognition, lifestyle and prevention mode of hypertension patients in rural area

Objective To evaluate the effects of comprehensive intervention and explore a hypertension prevention mode suitable for the actual situation of local rural area by comparing changes of behavior, disease cognizing and lifestyle before and after management. Methods Through establishing information base of 183 hypertension patients within jurisdiction, tiered follow-up management was enforced and personalized intervention program established. Self-management mode of hypertension patients was created by family doctor＇s guiding for drug adherence, regular exercise, stop smoking, limited drinking and health education. Results After management, the blood control rate was 75.1%. The behavior, disease cognizing and lifestyle of hypertension patients had markedly changed before and after management, with statistically significant difference （P 〈 0.05）. Conclusion Comprehensive intervention and self-management mode can change the behavior, cognition and lifestyle of hypertension patients in rural area, also can really and effectively control the blood pressure and prevent hypertension.