南京市社区高血压患者自我管理项目效果评估

王琛琛; 洪忻; 秦真真; 陈旭鹏; 周海茸; 王志勇; 徐斐; 喻荣彬

doi:10.16462/j.cnki.zhjbkz.2016.10.002

南京市社区高血压患者自我管理项目效果评估

doi: 10.16462/j.cnki.zhjbkz.2016.10.002

王琛琛^1,2,
洪忻²,
秦真真²,
陈旭鹏²,
周海茸^1,2,
王志勇²,
徐斐^1,2,
喻荣彬^1, ,

1. 南京医科大学公共卫生学院流行病学系, 江苏南京 211166;
2. 南京市疾病预防控制中心慢性非传染性疾病防制科, 江苏南京 210003

基金项目:

南京市医学科技发展项目（YKK14165）

详细信息

作者简介:
王琛琛(1985-),女,江苏南京人,主管医师,在读硕士研究生。主要研究方向:慢性非传染性疾病防制。

中图分类号: R544.1;R181
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出版历程
- 收稿日期: 2016-06-21
- 修回日期: 2016-08-29

Evaluation of hypertension self-management program in Nanjing community

1. Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China;
2. Department of Chronic and Non-communicable Disease Control and Prevention, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China

摘要

摘要: 目的评价南京社区高血压患者自我管理模式实施效果。方法于2014年4月~6月，以街道社区为单位，通过多种宣传方式，共成立50个高血压患者自我管理小组。活动内容参考上海复旦大学公共卫生学院所建立的中国本土化慢性病患者自我管理项目（chronic disease self-management project，CDSMP）。活动前和3个月后分别开展相同的问卷调查和实验室检测，以评估管理效果。结果共登记愿意参加自我管理小组的高血压患者586例，完成6次小组活动的患者575例，应答率为98.1%。与活动前相比，参与者高血压防制相关的10道题目知识知晓率、自我管理行为的6方面、生活质量的生理总评分（（49.56±8.15）vs（51.29±7.61），t_配对=6.254，P<0.001）和心理总评分（（49.25±10.84）vs（51.66±9.62），t_配对=5.888，P<0.001）活动后均显著提升；而收缩压、舒张压、空腹血糖分别降低了，差异均有统计学意义（t_配对分别为7.516、6.382、2.034，均有P<0.05）。结论高血压自我管理小组活动在南京社区推行取得了较好的效果，故CDSMP可在南京社区进一步推广。
- 高血压 /
- 结果与过程评价(卫生保健) /
- 流行病学研究
Abstract: Objective To explore the evaluation of hypertension self-management program in Nanjing community. Methods From April 2014 to June 2014, hypertension patients were recruited through many ways. A total of 50 self-management groups were established. Nanjing hypertension self-management program was based on the blueprint of Shanghai Chronic Disease Self-Management Program (CDSMP). Baseline and three-month later interviews were conducted respectively. Results A total of 586 patients were recruited and agreed to enter CDSMP. 575 completed the 6-session activities, with the respond rate of 98.1% Compared to baseline, ten of the patients' awareness rate of hypertension-related knowledge, six of self-management behaviors, the scores of quality of life in physical component summary ((49.56±8.15) vs (51.29±7.61), t_paired=6.254, P<0.001) and mental component summary ((49.25±10.84) vs (51.66±9.62), t_paired=5.888, P<0.001) were all higher after three months. Three months later after implementation, the level of systolic blood pressure, diastolic blood pressure and fasting plasma glucose decreased,the differences were statistically significant (t_paired values were 7.516, 6.382, 2.034, all P<0.05). Conclusions The effect of hypertension self-management in Nanjing population is similar to that found in relevant studies, and the CDSMP could be applied effectively in Nanjing.
- Hypertension /
- Outcome and process assessment (heath care) /
- Epidemiologic studies

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参考文献(16)

中国国家卫生和计划生育委员会. 中国居民营养与慢性病状况报告(2015)[R]. 北京, 2015.

Bolli P, Campbell NR. Do recommendations for the management of hypertension improve cardiovascular outcome? The Canadian experience[J]. Int J Hypertens, 2011:410754.

Jafar TH, Hatcher J, Poulter N, et al. Community-based interventions to promote blood pressure control in a developing country: a cluster randomized trial[J]. Ann Inter Med, 2009,151(9):593-601.

Lorig KR, Sobel DS, Stewart AL, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial[J]. Med Care, 1999,37(1):5-14.

Lorig KR, Sobel DS, Ritter PL, et al. Effect of a self-management program on patients with chronic disease[J]. Eff Clin Pract, 2001,4(6):256-262.

Dongbo F, Ding Y, McGowan P, et al. Qualitative evaluation of Chronic Disease Self Management Program (CDSMP) in Shanghai[J]. Patient Educ Couns, 2006,61(3): 389-396.

Fu D, Fu H, McGowan P, et al. Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China:randomized controlled trial[J]. Bull World Health Organ, 2003,81(3):174-182.

姜敏敏. SF-36v2量表在中国人群的性能测试、常模制定及慢性病应用研究[D]. 杭州:浙江大学, 2008.

傅东坡,傅华,Patrick MG,等. 上海慢性病自我管理项目实施效果的评价[J]. 中国公共卫生, 2003,19(2):223-225.

钱云,董美华,董昀球,等. 社区推行慢性病人自我管理课程效果的评估[J]. 中华疾病控制杂志, 2014,18(5):439-442.

黄丽勃. 社区高血压患者自我管理干预效果评价[J]. 中国公共卫生, 2008,24(3):287-288.

乔冠群,周建伟. 南京市下关区社区高血压患者自我管理项目实施效果评价[J]. 南京医科大学学报.自然科学版, 2010,16(9):1266-1270.

侯准科,田庆丰,谭琳琳,等. 不同管理模式高血压患者生命质量评价[J]. 中国卫生事业管理, 2011,275(5):385-387.

傅华. 慢性病的自我管理[J]. 中华预防医学杂志, 2013,47(11):988-990.

Jerant AF, von Friederichs-Fitzwater MM, Moore M. Patients' perceived barriers to active self-management of chronic conditions[J]. Patient Educ Couns, 2005, 57(3):300-307.

李春霖,陈嫣,张东霞,等. 不同社区高血压患者管理模式干预效果评价[J]. 中国公共卫生, 2010,26(3):309-310.

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