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目的：探讨健康管理对提升社区高血压患者自我效能的影响效果。方法在山西省太原市迎泽区范围内采用分层随机抽样的方法，选取347名社区高血压患者为调查对象，其中男性191例，女性156例，年龄38~72岁，平均（55.90±9.60）岁。实施为期6个月的“高血压患者自我效能提升计划”，利用自我效能量表对健康管理前后自我效能总分及日常生活、健康行为、服药行为、遵医行为的得分进行比较。采用Excel 2007和SPSS 19.0对数据进行录入与统计学分析。结果实施健康管理前，研究对象的平均自我效能总分为（26.96±0.77）分，在实施健康管理后该值增加为（29.51±0.86）分，差异具有统计学意义（t=-41.23，P<0.05）。4个维度中，除健康行为[管理前（7.25±0.40）分，管理后（7.26±0.40）分，t=-1.94]外，日常生活[管理前（6.85±0.20）分，管理后（7.49±0.31）分，t=-40.66]、服药行为[管理前（7.52±0.21）分，管理后（7.98±0.23）分，t=-26.93]、遵医行为[管理前（5.26±0.15）分，管理后（6.78±0.19）分，t=-115.97]得分管理后均高于健康管理前，差异有统计学意义（P<0.05）。结论健康管理规范了高血压患者的自我保健行为，提高了患者依从性，增强了自我效能，起到了控制疾病发生发展的作用。

Objective To understand the effect of health management to enhance the community hypertensive patients' self-efficacy. Method With the method of stratified random sampling, 347 patients who come from communities were diagnosed as hypertension were selected as research subjects from the range of Yingze in Taiyuan of Shanxi province. There were 191 males and 156 females, the age ranged from 38 to 72 (55.90±9.60) years. The self efficacy promotion plan was conducted on high blood pressure patients. A comparison before and after six months of health management was made among the self efficacy scores, daily life scores, health behavior scores, drug behavior scores, medical compliance behavior scores by using self-efficacy scale. Excel 2007 and SPSS 19.0 were used for data analyses. Result Before the implementation of health management, the self efficacy scores of research subjects were 26.96 ± 0.77. After the implementation of health management, the value increased to 29.51 ± 0.86 (t=-41.23, P<0.05). In four dimensions, daily life (before and after management 6.85 ± 0.20 and 7.49 ± 0.31, t=-40.66), drug behaviors (before and after management 7.52 ± 0.21 vs. 7.98 ± 0.23, t=-26.93) and medical compliance behavior scores (before and after management 5.26±0.15 vs. 6.78±0.19, t=-115.97) were higher than those before the health management except health behaviors (before and after management 7.25 ± 0.40 vs. 7.26 ± 0.40, t=-1.94, P<0.05). Conclusion Health management regulated the self care behavior of patients with hypertension, improved the patients' compliance and enhanced self efficacy, which played an important role in controlling the development of disease.