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目的探讨综合健康管理模式对老年高血压患者的干预效果。方法 609例高血压患者,随机分为联合组(152例)、综合组(152例)、普通组(152例)、对照组(153例)。联合组接受综合健康管理和普通健康管理,综合组接受综合健康管理,普通组接受普通健康管理,对照组未接受任何管理。评估患者的干预效果。结果干预前四组患者各量表评分比较,差异无统计学意义(P>0.05)。干预6个月后综合组各量表评分高于普通组和对照组(P<0.05);联合组各量表评分分别为(15.33±4.13)、(20.16±5.57)、(14.13±3.09)分,高于综合组的(13.35±3.63)、(18.09±5.41)、(11.05±3.15)分(P<0.05)。患者依从性、自我管理、态度与信念评分在综合组和普通组间均无交互作用(P>0.05)。综合组和普通组对患者依从性、态度与信念评分的主效应有统计学意义(P<0.05),综合组对自我管理的主效应有统计学意义(P<0.05)。结论综合健康管理模式可改善老年高血压患者的治疗依从性、自我管理行为能力和治疗态度与信念。
Objective To explore the effect of comprehensive health management on elderly hypertensive patients. Methods 609 hypertensive patients were randomly divided into combined group (152 cases), comprehensive group (152 cases), common group (152 cases) and control group (153 cases). The combined group received comprehensive health management and general health management, comprehensive group accepted comprehensive health management, general group received general health management, the control group did not receive any management. Assess patient intervention. Results There was no significant difference between the scores of the four groups before intervention (P> 0.05). After 6 months of intervention, the score of each scale in the comprehensive group was higher than that in the normal group and the control group (P <0.05). The scores in the combined group were (15.33 ± 4.13), (20.16 ± 5.57) and (14.13 ± 3.09) (13.35 ± 3.63), (18.09 ± 5.41) and (11.05 ± 3.15) points respectively (P <0.05). Patient compliance, self-management, attitude and belief scores had no interaction between general and general groups (P> 0.05). The main effect of compliance, attitude and belief scores on patients in general and general groups was statistically significant (P <0.05). The main effect of comprehensive group on self-management was statistically significant (P <0.05). Conclusion The comprehensive health management model can improve the treatment compliance, self-management abilities, treatment attitude and beliefs of elderly hypertensive patients.