基于健康生态学模型分析老年高血压患者自我管理现况

发布时间：2018-11-28 07:16

【摘要】：目的基于健康生态学模型对老年高血压患者自我管理现状进行分析。方法 120例原发性老年高血压患者为研究组,另选取同期收治的89例原发性中年高血压患者为对照组。采用自制调查问卷方式对两组不同社会人口学特征的基本情况、血压控制效果、自我管理行为等情况进行比较。结果两组婚姻、慢性病报销、医保支付医疗费用、新农合支付医疗费用、大专及以上文化程度比较差异有统计学意义(P0.05);对照组收缩压与舒张压水平均高于研究组(P0.05);对照组情绪管理、用药管理、病情监测、饮食管理、运动管理、工作与休息管理等评分均低于研究组,自我管理水平差于研究组(P0.05)。结论基于健康生态学模型老年高血压患者能改善自我管理行为,控制血压水平稳定。
[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.
【作者单位】： 三亚市人民医院;甘肃省人民医院;
【基金】：海南省重点攻关课题科研资助项目(No.ZDXM2015086)
【分类号】：R544.1
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本文编号：2362189