目的：探索社区高血压患者干预管理的有效方法。方法选取本中心管辖的4个居委，每个居委建立一个高血压患者自我管理小组，每组20例共80例患者作为实验组，随机选取同期在社区健康服务中心已建立专案分级管理的80名患者作为对照组，比较两组管理前后的健康状况及血压变化情况。结果管理6个月后，实验组在健康状况3个方面(健康自评、疲劳、情绪低落)的变化值明显好于对照组(P<0.05)；实验组的收缩压、舒张下平均下降值明显高于对照组，差异有统计学意义(P<0.05)。结论在社区组织开展高血压患者自我管理工作能够明显提升患者的生命与生活质量，是高血压患者社区综合管理的有效方法。%Objective To explore effective methods of intervention management on patients with hypertension of com-munity. Methods 4 neighborhood committee governed by the center were selected,a hypertension self-management group was established in each neighborhood committee,each group having 20 patients with a total of 80 patients were selected as the experimental group, at the same time, 80 patients established project classification management in the community health service center were randomly selected as the control group. Health status and change of blood pres-sure before and after management in the two groups were compared. Results After 6 months management,the change of three areas (self-rated health,fatigue,depression) of health status in the experimental group were significantly better than those in the control group (P<0.05);the decreasing value of systolic blood pressure and diastolic blood pressure in the experimental group were significantly higher than those in the control group,the difference was statistically signifi-cant (P<0.05). Conclusion The community carrying out self-management in patients with hypertension can significantly improve the quality of life in patients,is an effective method for community integrated management in patients with hy-pertension.
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