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目的 在社区引入患者自我管理模式,对高血压患者进行健康教育后,观察自我管理能力对患者相关行为的影响.方法 从坪山19个社区546例高血压患者中随机选取252例,均自愿参加高血压社区规范化管理,通过讲座等形式培训患者的自我管理能力,指导患者的健康生活方式,发放自我管理手册,建立科学的自我管理方法并提高社会及家庭的支持程度,同时采用自身对照的方法进行分析研究.结果 健康教育前后252例患者基本知识的知晓率、自我管理能力、血压控制率差异均有统计学意义(P<0.05).结论 通过健康教育可提高患者的自我管理水平,对高血压患者改变不良生活方式,提高血压控制率,降低并发症发牛率具有明显的效果.

Objective To observe the influence of self-management on health care behavior through health education for patients with hypertension after a self-management model was brought to the communities. Methods There are 252 cases chosen randomly from 546 hypertensive patients in 19 communities to participate in the standard management of hypertension in communities voluntarily. They improve their self-management skills through attending lectures, the guidance of healthy lifestyle and self-management manuals. A scientific self-management methods was established and the support of the society and family was improved. The self-control method was used to analyze this study. Results There are significantly differents (P<0.05 ) in basic health knowledge understanding, self-management skills, and blood pressure control after health education compared with before. Conclusions Patients with health education can improve the self-management level. There are obvious effects on changing the bad lifestyle,improving blood pressure control rate, and decreasing the complication of patients with hypertension.