發(fā)布時(shí)間：2018-11-28 07:16

【摘要】：目的基于健康生態(tài)學(xué)模型對(duì)老年高血壓患者自我管理現(xiàn)狀進(jìn)行分析。方法 120例原發(fā)性老年高血壓患者為研究組,另選取同期收治的89例原發(fā)性中年高血壓患者為對(duì)照組。采用自制調(diào)查問卷方式對(duì)兩組不同社會(huì)人口學(xué)特征的基本情況、血壓控制效果、自我管理行為等情況進(jìn)行比較。結(jié)果兩組婚姻、慢性病報(bào)銷、醫(yī)保支付醫(yī)療費(fèi)用、新農(nóng)合支付醫(yī)療費(fèi)用、大專及以上文化程度比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組收縮壓與舒張壓水平均高于研究組(P0.05);對(duì)照組情緒管理、用藥管理、病情監(jiān)測(cè)、飲食管理、運(yùn)動(dòng)管理、工作與休息管理等評(píng)分均低于研究組,自我管理水平差于研究組(P0.05)。結(jié)論基于健康生態(tài)學(xué)模型老年高血壓患者能改善自我管理行為,控制血壓水平穩(wěn)定。
[Abstract]:Objective to analyze the status of self-management in elderly patients with hypertension based on health ecological model. Methods 120 elderly patients with essential hypertension were selected as study group and 89 patients with essential middle age hypertension as control group. The self-made questionnaire was used to compare the basic characteristics of different social demographics, blood pressure control effect and self-management behavior between the two groups. Results there were significant differences between the two groups in marriage, reimbursement of chronic diseases, medical expenses paid by medical insurance, medical expenses paid by NCMS, college education and above (P0.05). Systolic and diastolic blood pressure levels in the control group were higher than those in the study group (P0.05). The scores of mood management, medication management, disease monitoring, diet management, exercise management, work and rest management in the control group were lower than those in the study group, and the self-management level was lower than that in the study group (P0.05). Conclusion based on the model of health ecology, elderly patients with hypertension can improve their self-management behavior and control their blood pressure.
【作者單位】： 三亞市人民醫(yī)院;甘肅省人民醫(yī)院;
【基金】：海南省重點(diǎn)攻關(guān)課題科研資助項(xiàng)目(No.ZDXM2015086)
【分類號(hào)】：R544.1
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本文編號(hào)：2362189