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目的分析相同干预措施下,依据社区高血压患者社会网络关系紧密程度组建自我管理小组的效果。方法采用分阶段抽样的方法抽取北京市西城区4个社区卫生服务站,招募293名社区高血压患者进入研究并签署知情同意书。依据患者相对度数中心度分为紧密组148人和不紧密组145人。在两组进行内容相同的8次课程干预,干预前后由调查员统一完成调查,调查内容包括基本情况,知识、态度、行为、技能和体格检查,比较两组的干预效果。结果在制定行动计划、锻炼两个指标上,紧密组和不紧密组干预后得分的差异有统计学意义(P<0.05);紧密组舒张压在干预后的改善优于不紧密组(P<0.05)。在各条目的比较中,知道控制情绪的方法,运动时出现气急会慢下来,就诊前会整理问题,紧密组干预后的改善优于不紧密组(P<0.05)。结论依据社区高血压患者社会网络密度建立管理小组干预效果较好,可作为社区高血压自我管理小组的构建方式。
Objective To analyze the effect of setting up a self-management group based on the close relationship between social network of community-based hypertensive patients under the same interventions. Methods Four community health service stations in Xicheng District of Beijing were recruited by phased sampling method, and 293 community hypertension patients were enrolled in the study and signed informed consent form. According to the degree of patient relative degree center was divided into close group of 148 people and not close group of 145 people. Before and after the intervention, the investigators completed the survey. The investigation included basic information, attitude, behavior, skills and physical examination. The intervention effects of the two groups were compared. Results There were significant differences in scores between intervention group and non-close group in the formulation of action plan and exercise (P <0.05). The improvement of the diastolic pressure in the close group after intervention was better than that in the non-close group (P < 0.05). In the comparison of the items, the method of controlling emotions was known. When the exercise progressed, the shortness of breath would slow down and the problems would be sorted out before the treatment. The improvement after the intervention in the tight group was better than that in the non-close group (P <0.05). Conclusion The establishment of a management group intervention based on the social network density of community-based hypertensive patients is effective and can be used as a way to construct community-based hypertension self-management groups.