Objective To evaluate the effectiveness of self-management in community hypertension patients. Methods A community-based self-controlled trial was designed to carry out the hypertension self-management in the patients with hypertension, and make the intervention for 12 months. The changes in the improvement of adverse life behavior, the related signs, the rate of drug administration and blood pressure control were compared before and after the intervention. Results After 12 months' intervention, the control salt, exercise, psychological adjustment and other adverse life style were im-proved significantly, and the difference were statistically significant (P<0.01). Some measures such as the waist-circum-ference, body weight index and smoking were not statistically significant (P>0.05). The systolic blood pressure, diastolic blood pressure, the rates of blood pressure control and blood pressure control were increased significantly (P<0.01). Conclusion The development of community hypertension self-management help patients with hypertension to improve the way of life, psychological adjustment, increase the rates of drug administration and blood pressure control.%目的 评价社区高血压患者实施自我管理的效果.方法 社区为基础的自身对照实验设计,对入组高血压患者进行定期高血压自我管理活动,干预12个月.比较干预前后在不良生活行为改善、相关体征、规律服药和血压控制达标等方面的变化. 结果 干预12个月后,控盐、运动、心理调整等不良生活方式明显改善,与管理前比较有差异有统计学意义(P<0.01);而腰围、体重指数和吸烟方面,干预后与干预前比较差异无统计学意义(P>0.05);收缩压、舒张压均下降,规律服药率及血压值控制达标率均提高,与干预前比较差异有统计学意义(P<0.01). 结论 开展社区高血压自我管理,有助于高血压患者改善不良的生活方式,调整心理,提高规律服药率和血压值控制达标率.
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