临床路径式管理在高血压自我管理中的效果评价

摘要

目的 评价临床路径式管理在高血压自我管理中的效果.方法 采用随机对照的方法,对参加高血压自我管理小组的成员应用临床路径式管理方式进行科学的健康教育、合理的生活方式指导、规范的药物治疗12个月,比较干预前后的血压控制情况.结果 干预后盐油摄入量知晓率和盐勺控油壶使用率均较干预前提高,差异有统计学意义(P＜0.05);研究对象的运动积极性、有效性改善;干预后合理用药情况改善,与干预前比较差异有统计学意义(P＜0.05);干预后测血压频率提高,血压控制情况改善,与干预前比较差异均有统计学意义(P＜0.05).结论 高血压临床路径式管理可以提高患者高血压相关知识的知晓率,提高血压治疗率和控制率,是一种很有成效的健康教育手段和慢性病管理方法.%Objective To appraise the effect of the management model of clinical pathway in self - management of patients with hypertension.Methods by using randomized controlled method and applying the self - management model of clinical pathway the patients with hypertension were given scientific health education, guidance for rational lifestyle, and standardized pharmacotherapy for 12 months, and then control conditions of blood pressure hefore and after the intervention were compared.Results After the intervention, the subjects' awareness rate of salt and oil intake, and usage rate of salt spoon and oil control device were significantly increased ( P ＜ 0.05 ) ; the exercise motivation , effectiveness and reasonable medication significantly improved ( P ＜ 0.05 ); the frequency of taking blood pressure was raised; the control of blood pressure was improved ( P＜ 0.05 ).Conclusion The management model of clinical pathway for hypertension patients can increase awareness rate of knowledge on hypertension, raise the treatment and control rate of hypertension, so that it is an effective health education and management method for chronic diseases.