[1]姜美玲,汤衡玲,吴姗.Triangle分层分级管理干预对高血压出院患者血压控制、自我管理行为及治疗依从性的影响[J].内科,2020,15(01):29-31+54.[doi:DOI:10.16121/j.cnki.cn45-1347/r.2020.01.10]
 JIANG Meiling,TANG Hengling,WU Shan.Effect of Triangle hierarchical management intervention on blood pressure control, self-management behavior and treatment compliance in patients with hypertension[J].Internal Medicine of China,2020,15(01):29-31+54.[doi:DOI:10.16121/j.cnki.cn45-1347/r.2020.01.10]
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Triangle分层分级管理干预对高血压出院患者血压控制、自我管理行为及治疗依从性的影响()
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《内科》[ISSN:1006-6977/CN:61-1281/TN]

卷:
15卷
期数:
2020年01
页码:
29-31+54
栏目:
论著
出版日期:
2020-03-31

文章信息/Info

Title:
Effect of Triangle hierarchical management intervention on blood pressure control, self-management behavior and treatment compliance in patients with hypertension
文章编号:
1673-7768(2020)01-0029-04
作者:
姜美玲汤衡玲吴姗
深圳市龙华区中心医院健康管理科保健部,广东省深圳市518110
Author(s):
JIANG Meiling TANG Hengling WU Shan
Health Management Division, Longhua Central Hospital in Shenzhen, Shenzhen 518110, Guangdong Province, China
关键词:
高血压健康管理Triangle分层分级管理自我管理行为治疗依从性
Keywords:
Hypertension Health management Triangle hierarchical management Self-management behavior Treatment compliance
分类号:
R 541
DOI:
DOI:10.16121/j.cnki.cn45-1347/r.2020.01.10
文献标志码:
A
摘要:
目的探讨Triangle分层分级管理在高血压患者中的应用价值。方法选取2017年1月至2019年3月在我院就诊的高血压患者134例,采用随机数字法分为对照组和观察组,每组67例。对照组患者给予常规健康管理干预,观察组患者在对照组的基础上给予Triangle分层分级管理干预,干预时间6个月。比较两组患者干预前后的舒张压(DBP)、收缩压(SBP)、自我管理行为评分、治疗依从性评分。结果干预前,两组患者的DBP、SBP、自我管理行为评分、治疗依从性评分以及1年并发症发生率比较差异无统计学意义(P>0.05)。干预6个月后,两组患者的DBP、SBP均显著下降,观察组患者的水平显著低于对照组;两组患者的自我管理行为及治疗依从性评分均显著升高,观察组患者的水平显著高于对照组,差异有统计学意义(P<0.05)。随访1年,观察组患者的并发症发生率(2.99%)显著低于对照组(13.43%),差异有统计学意义(P<0.05)。结论对高血压患者实施Triangle分层分级管理干预,可有效提高血压控制效果,改善患者自我管理行为,提高治疗依从性,降低并发症发生风险,值得推广应用。
Abstract:
ObjectiveTo explore the value applied to Triangle hierarchical management in patients with hypertension. MethodsA total of 134 patients with hypertension admitted to our hospital from January 2017 to March 2019 were selected and divided into control group and observation group by the random number method, with 67 cases in each group. Patients in the control group were administered routine health management intervention, based on which the observation group was administered Triangle hierarchical management intervention, for six-month intervention. Diastolic blood pressure (DBP), systolic blood pressure (SBP), self-management behavior score, and treatment compliance score were compared between the two groups. ResultsBefore intervention, there were no statistically significant differences in DBP, SBP, self-management behavior score, treatment compliance score, and the incidence of one-year complication between the two groups (P>0.05). After 6 months of intervention, the DBP and SBP of the two groups decreased significantly, and the levels in the observation group were significantly lower than those in the control group. The self-management behavior and treatment compliance scores of the two groups significantly increased, and the levels in the observation group were significantly higher than those in the control group, with statistically significant differences (P<0.05). For one-year follow-up, the incidence of complications in the observation group (2.99%) was significantly lower than that in the control group (13.43%), and the difference was statistically significant (P<0.05). ConclusionImplementing the Triangle hierarchical management intervention for hypertensive patients can effectively improve the blood pressure control effect, self-management behavior of patients, and treatment compliance, and thus it reduces the risk of complications occurrence, which is worthy of promotion and application.

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更新日期/Last Update: 2020-04-07