Chinese General Practice ›› 2018, Vol. 21 ›› Issue (17): 2087-2090.DOI: 10.3969/j.issn.1007-9572.2018.00.021

Special Issue: 高血压最新文章合集

• Monographic Research • Previous Articles     Next Articles

Effect of Missionary Education of Self-monitoring Blood Pressure among Community-dwelling Hypertensive Patients 

  

  1. Fenglin Street Community Health Service Center of Xuhui District,Shanghai 200030,China
    *Corresponding author:XU Li-ping,Associate chief physician;E-mail:Liping6401@126.com
  • Published:2018-06-15 Online:2018-06-15

“传教式”模式指导社区高血压患者自测血压的效果评估研究

  

  1. 200030上海市徐汇区枫林街道社区卫生服务中心
    *通信作者:徐莉苹,副主任医师;E-mail:Liping6401@126.com
  • 基金资助:
    上海市社区卫生协会慢性病健康管理项目

Abstract: Objective To explore the effect of missionary education of self-monitoring blood pressure among community-dwelling hypertensive patients.Methods This study was carried out from September 2016 to June 2017,all the enrolled hypertensive patients were from communities governed by Xuhui District Fenglin Neighborhood Committee and received contractual hypertension management services by using convenient sampling,including 120 cases from Wannan community who voluntarily received antihypertensive drug treatment,conventional community-based management combined with missionary education of self-monitoring blood pressure(intervention group) and 120 from other 3 communities(Donger,Ximu and Jinxie) who voluntarily received only antihypertensive drug treatment and conventional community-based management(control group).Community-dwelling hypertensive patients' awareness of standardized using electronic sphygmomanometer questionnaire was used to assess the awareness of standardized using electronic sphygmomanometer.And standardized using electronic sphygmomanometer assessment scale was adopted to evaluate the status of using electronic sphygmomanometer.Results 8 weeks after receiving intervention,the awareness rates of diagnostic threshold of hypertension,precautions for blood pressure measurement,selection of position for blood pressure measurement,position of the arm during blood pressure measurement in sitting position,correct placement of the cuff,tightness of the cuff,frequency of blood pressure measurement,time of blood pressure measurement,selection of electronic sphygmomanometer,and other matters needing attention in the intervention group increased significantly compared with before intervention(P<0.05),and they were much higher than those of the control group(P<0.05).At each of the 4 measurement times after intervention(1,2,4,8 weeks after intervention),the intervention group achieved much higher scores in standardized measurement of blood pressure by using electronic sphygmomanometer compared with before intervention,as well as the control group(P<0.05).Conclusion By missionary education of self-monitoring blood pressure,community-dwelling hypertensive patients(even all of them) could know the correct way for measuring blood pressure,the accuracy of patients' self-measurement of blood pressure could be increased,patients' self-management of blood pressure could be enhanced,efficiency of hypertension management from a family doctor team could be improved,by which the blood pressure monitoring could reach the standard.This education way of self-monitoring blood pressure offers a reference for community-based chronic disease management.

 

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摘要:

目的 探讨“传教式”模式指导社区高血压患者自测血压的效果。方法 2016年9月—2017年6月,以上海市徐汇区枫林街道居民委员会为单位,采用便利抽样法选取宛南社区自愿入组且签约在管的高血压患者120例为干预组(在高血压药物治疗+常规社区管理基础上应用“传教式”模式进行指导);东二、西木、谨斜社区自愿入组且签约在管的高血压患者120例为对照组(应用高血压药物治疗+常规社区管理)。采用《社区高血压患者规范使用电子血压计知晓度问卷》和《电子血压计测定评估表》评估干预前后规范使用电子血压计知晓率和电子血压计测定评分。结果 干预后第8周干预组的诊断阈值、测量前注意事项、测量选用体位、坐位测量手臂位置、袖带正确摆放位置、袖带松紧程度、测量频率、测量时间、电子血压计选用、其他注意事项知晓率均高于对照组(P<0.05);干预组干预后第8周的诊断阈值、测量前注意事项、测量选用体位、坐位测量手臂位置、袖带正确摆放位置、袖带松紧程度、测量频率、测量时间、电子血压计选用、其他注意事项知晓率均高于干预前(P<0.05)。干预后第1、2、4、8周干预组电子血压计测定评分高于对照组(P<0.05);干预组干预后第1、2、4、8周电子血压计测定评分高于干预前(P<0.05)。结论 “传教式”模式指导社区高血压患者自测血压,使社区高血压患者知晓自测血压的正确方法,可以达到目标人群的全覆盖的目的,提高患者自测血压的准确性、患者自我管理的能力、家庭医生团队高血压管理的有效性,从而使血压监测达标,为社区慢性病管理模式提供借鉴。

关键词: 高血压, 社区卫生服务, 血压测定