陈芳??李皓

[摘要] 目的 对黄埔区社区高血压患者自我管理效果进行分析。 方法 将黄埔区各社区已确诊的且自愿参与的320例高血压患者随机分为对照组和管理组，分别实施为期6个月不同方式的管理，然后比较分析两组患者血压控制、血脂、体重、腰围和BMI的变化情况以及形成健康生活方式的相关行为。 结果 实施管理6个月后，管理组的血压下降幅度显著大于对照组，差异具有统计学意义（P<0.01）；管理组的健康生活方式形成明显优越于对照组，差异均具有统计学意义（P<0.05）；管理组与对照组的体重、腰围、BMI以及血脂相比较，结果均无统计学意义（P>0.05）。 结论 对社区高血压患者进行自我管理模式管理，患者血压控制更显著，生活方式也明显优化，对社区高血压预防与控制起到积极的作用，值得推广应用。

[关键词] 高血压；社区；自我管理；效果分析

[中图分类号] R544.1 [文献标识码] B [文章编号] 2095-0616（2015）14-201-03

Huangpu district community hypertension self-management effect analysis

CHEN Fang LI Hao

Huangpu District Community Health Service Center，Guangzhou 510700，China.

[Abstract] Objective To analyze the effect of self-management about the hypertension patients in Huangpu district community. Methods The 320 hypertension patients in huangpu district community who had been confirmed and voluntary participation were randomly divided into control group and the management group，respectively implementing the different ways of the management for six months，then compared and analyzed with their blood pressure control，blood lipid，body weight，waist circumference，BMI and related behavior of a healthy lifestyle. Results After managing six months，the management group of the blood pr-essure decreased significantly than control group，difference has statistical signi-ficance （P<0.01）；Healthy lifestyle form of management group was obviously superior to control group，the differences were statistically significant （P<0.05）；While comparing management group and the control's body weight，waist ci-rcumference，BMI and blood lipid there were no obvious difference，and no statistically significant difference （P>0.05）. Conclusion Implementing the comm-unity self-management model to hypertension patients，whose blood pressure are more significant control and lifestyle have obvious optimization，which play a positive role in community prevention and control of hypertension，is worthy of popularization and application.

[Key words] Hypertension；Community；Self-management；Effect analysis

随着经济飞速发展，现代化生活水平的不断提高与改善，人们的生活方式发生了急剧的变化，无形中，高血压已逐渐成为威胁人类健康的罪魁祸首之一[1]，且高血压患病率在社区的慢性病中位居榜首[2]。许多高血压患者因缺少对高血压相关危险因素的认识，而不能进行自我管理、自我调节，因此血压控制不理想，使其更容易发生心脑血管事件[3]。因此，提高高血压患者对其自身疾病的认识，学会自我管理和自我调节，有效地预防和控制高血压，降低心血管疾病的发病率和病死率非常重要[4]。为提高黄埔区社区高血压患者的自我管理能力，设计了为期6个月的干预管理研究，取得了较为满意的效果。现

报道如下。

1 资料与方法