【摘要】 目的研究家庭动力学干预对社区高血压患者血压控制情况及不良生活方式改变情况的影响。方法在社区健康服务中心慢性疾病档案中随机抽取2013年7月—2014年7月符合条件的高血压患者200例为研究对象,以数字法随机分为观察组(100例)和对照组(100例),两组患者均给予原有的抗高血压治疗,观察组在此基础上实施家庭行为干预,对照组按照原来的方案实施干预。定时测量并记录两组患者每个月的血压值,比较两组患者的血压控制率。结果干预前连续监测血压6个月,实施家庭动力学干预后继续监测血压6个月,观察组患者血压控制率提高了19.10%,对照组患者血压控制率提高了3.80%;观察组总有效率为77.00%,对照组为51.00%;血压测量值与正常值比较发现,观察组监测值比正常值高1.08%,而对照组监测值比正常值高1.12%,差异均有统计学意义(P<0.05)。结论家庭动力学干预能够改善社区高血压患者血压控制情况,改变高血压患者不良生活方式是社区高血压防治和管理的有效措施。更多还原

【Abstract】 OBJECTIVE To study the family dynamics of hypertension patients in community intervention of blood pressure control and the impact of lifestyle change situation.METHOD In the archives of community health service center of chronic disease randomly in July 2013-July 2014 eligible,200 cases of hypertension patients as the research object,by the method of digital were randomly divided into observation group(100 cases) and control group(100 cases),two groups of patients were given the existing antihypertensive treatment.Observation group on the basis of the implementation of family behavior intervention,the control group,in accordance with the original plan to intervene.Timing,measure and record the blood pressure values of each month,two groups of patients compared two groups of patients with blood pressure control rates.RESULT Continuous monitoring of blood,the results before 6 months,the implementation of family dynamics continue to monitor the blood pressure after 6 months,observation group of patients with blood pressure control rates increased by 19.10%,control group patients with blood pressure control rates increased by 3.80%;observation group total effective rate reached 77.00%,the control group is 51.00%;it found that compared with normal blood pressure group monitoring value was 1.08%higher than normal,monitoring value is higher than normal and the control group 1.12%,the difference had statistical significance(P<0.05).CONCLUSION Family dynamics hypertension patients in community intervention can improve blood pressure control,change of lifestyle,hypertension patients were effective measures of community prevention and control of hypertension and management.更多还原