基于微信的归因干预对社区中青年高血压患者自我管理水平的影响.docVIP

基于微信的归因干预对社区中青年高血压患者自我管理水平的影响 　　[摘要] 目的 探讨基于微信的归因干预对社区中青年高血压患者自我管理水平的影响。 方法 采用便利抽样法，抽取2016年6～12月在诸城市马庄社区门诊就诊的高血压患者100例。按随机数字表法分为对照组和观察组，每组各50例。对照组按社区高血压护理常规进行干预，观察组在常规护理基础上由归因干预小组人员基于微信平台进行归因干预。比较两组患者的自我管理能力、血压控制水平。 结果 观察组行微信归因干预后，自我管理水平优于对照组（P 0.05）。在血压控制情况上，干预后观察组的收缩压和舒张压均明显低于对照组，差异有高度统计学意义（P 0.01）。 结论 实施基于微信的归因干预能提高患者的自我管理能力，有效控制血压，提高治疗效果并减缓并发症的发生。 　　[关键词] 微信；归因干预；中青年；高血压；自我管理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）10（a）-0162-05 　　[Abstract] Objective To explore the influence of attribution intervention on self-management level of young and middle-aged patients with community hypertension through WeChat. Methods From June to December in 2016， 100 young and middle-aged patients with community hypertension attended to community clinic in Zhucheng Ma Zhuang were selected and divided into control group （50 cases） and observation group （50 cases） by random number table. Patients in control group were treated by routine nursing and health education， while patients in observation group were treated by attribution intervention through Wechat. Then the self-management ability and blood pressure level in the groups were compared. Results After the intervention， the self-management ability in observation group was higher than that in control group （P 0.05）. In the blood pressure control， the scores of blood pressure in the observtion group were significantly lower than that in the control group（P 0.01）. Conclusion The implementation of attribution intervention through WeChat can improve patients′ self-management ability， help for blood pressure control， and improve the therapeutic effect and reuce the occurrence of complications. 　　[Key words] WeChat； Attribution intervention； Young and middle-aged； Hypertension； Self-management 　　目前，我??原发性高血压患者约2亿，患病率逐年增加[1]，血压控制不当将导致心脑肾等重要器官的病变。然而，目前没有治疗高血压的特效药，因此有效地控制血压显得尤为关键[2]。但调查结果显示：我国高血压患者知识知晓率、治疗率、控制率水平很低[3]。高血压一向被称为老年慢性病，随着经济的发展、生活水平的提高及生活压力的加剧，中青年原发性高血压患者的发病率明显升高，并且年轻化趋势越来越明显[4]，因此有必要对中青年高血压患者的自我管理行为等问题进行相关研究。近年