以社区为平台开展老年高血压病自我管理研究.doc

以社区为平台开展老年高血压病自我管理研究 周文军 霍红霞 李卫国 姚 俊 【摘要】 目的 探讨以社区为平台开展老年高血压自我管理的效果。 方法 在江苏常熟市城区选择6个社区65岁以上高血压患者为研究对象，对其进行高血压自我管理健康教育综合干预，在干预前后进行高血压自我管理行为调查，监测血压、血糖、血脂情况，对效果进行临床评价。 结果 干预后患者的血压下降有统计学意义，以收缩压下降更为明显。干预后患者生活模式发生了较大改变，饮食模式改变多于运动模式的改变。干预前后患者体重和腰围方面无明显变化，血糖和血脂情况较干预前差。 结论 以社区为平台开展老年高血压自我管理能有效降低血压，改善高血压患者自我管理行为。提高高血压自我管理培训班结束后干预作用的长效性和可持续性，是以后在高血压自我管理中需要值得注意的方面。 【关键词】 社区；老年高血压；自我管理方法；效果评价 【中图分类号】 【文献标识码】 Study on Self-Management of Aged Patients with Hypertension Based on Community Zhou WenJun, Huo HongXia, Li WeiGuo, Yao Jun (Changshu No.5 People’s Hospital, Changshu, Jiangsu, 215500) 【Abstract】 Objective To investigate the effects of self-management in aged patients with hypertension based on community service. Methods Chose some hypertensive patients over the age of 65 from six different communities in the city of Changshu, and teach them self-management of hypertension. Before and after interposal, investigate the self-management behavior of hypertension patients; monitor the levels of blood pressure, blood glucose and blood lipid; and then evaluate the clinical effects. Results The reduction of blood pressure was significant after interposal, especially the reduction of systolic pressure. Lifestyle of patients changed a lot after interposal, and changes in diet were more than that in sports. There were no significant differences in weight and waistline, but the levels of blood glucose and blood lipid were worse after interposal. Conclusion Self-management in aged patients with hypertension based on community service can effectively reduce blood pressure and improve the self-management behavior of hypertensive patients. It also needs to notice the improvement of long-acting and sustainability of interposal effects after the training courses of self-management. 【Key words】 community; aged patients with hypertension; self-management; effect evaluation 我国已成为世界上高血压危害最严重的国家之一，目前估算35岁以上居民高血压患病率为40%，高血压病已严重影响居民健康及生活质量。提高居民高血压病的知晓率、治疗率、控制率，降低患