目的 评估社区老年高血压自我管理模式的效果.方法 在浦东新区23个街镇中每个街镇各抽取1个老年高血压自我管理小组,对所有组员进行参加课程前后的效果进行问卷调查和血压测量.结果 参与课程后,组员自评健康状况明显改善(P＜0.05),体力活动、对控盐勺、控油壶的使用率、每周测量1次血压的比例均较参与课程前明显增加(P＜0.05),每天摄入水果蔬菜、口味变清淡的比例较参与课程前增多.自我效能明显提高,收缩压下降了17 mmHg,舒张压下降了10 mmHg (P＜0.05).结论 对社区老年高血压患者以自我管理的方式进行管理,并针对性地进行行为干预,是控制老年高血压的有效手段.%Objective To evaluate the effect of hypertension in the elderly of self-management in Pudong New Area residents. Methods 23 groups were selected randomly, all the members in these groups were surveyed by questionnaire and blood pressure measurement. Results Self-reported wellbeing, physical activities , the usage of supportive tools, blood pressure measurement every week, intake of fruits and vegetables every day and light diet are improved compared with before class (P<0.05), so the self-efficacy score are increased significantly (P<0.05). Also, systolic blood pressure are decreased by 17 mmHg and diastolic blood pressure are decreased by 10 mmHg significantly (P<0.05). Conclusion Self-management way management to patients with high blood pressure in the community and some pointed behavior intervention, is the effective means to control high blood pressure.
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