综合健康管理模式对老年高血压患者的干预效果研究.docVIP

综合健康管理模式对老年高血压患者的干预效果研究 　　【摘要】 目的 探讨综合健康管理模式对老年高血压患者的干预效果。方法 609例高血压患者， 随机分为联合组（152例）、综合组（152例）、普通组（152例）、对照组（153例）。联合组接受综合健康管理和普通健康管理， 综合组接受综合健康管理， 普通组接受普通健康管理， 对照组未接受任何管理。评估患者的干预效果。结果 干预前四组患者各量表评分比较， 差异无统计学意义（P0.05）。干预6个月后综合组各量表评分高于普通组和对照组（P0.05）。综合组和普通组对患者依从性、态度与信念评分的主效应有统计学意义（P0.05）， 综合组对自我管理的主效应有统计学意义（P0.05）。结论 综合健康管理模式可改善老年高血压患者的治疗依从性、自我管理行为能力和治疗态度与信念。 　　【关键词】 综合健康管理；高血压；干预；效果评价 　　DOI：10.14163/j.cnki.11-5547/r.2016.22.186 　　Research of intervention effect by integrated health management model for senile hypertension patients HU Hong-yan， LIN Xiao-jie， CHEN Li-mei， et al. Guangdong Province Second Hospital of Traditional Chinese Medicine， Guangzhou 510095， China 　　【Abstract】 Objective To investigate intervention effect by integrated health management model for senile hypertension patients. Methods A total of 609 hypertension patients were randomly divided into combined group （152 cases）， integrated group （152 cases）， common group （152 cases） and control group （153 cases）. The combined group received integrated health management and common health management， the integrated group received integrated health management， the common group received common health management， and the control group received no management. Intervention effects in patients were evaluated. Results The difference of scales across the four groups had no statistical significance before intervention （P0.05）. The integrated group had higher scores than the common group and the control group after 6 months of intervention （P0.05）. The difference of main effect in compliance， attitude and belief score had statistical significance between the integrated group and the common group （P0.05）. The integrated group had statistically significant difference of main effect in self-management （P0.05）. Conclusion Integrated health management can improve compliance， self-management， attitude and belief in senile hypertension patients. 　　【Key words】 Integrated health management； Hypertension； Interven