首页|老年高血压慢性共病患者实施医院-社区-家庭联动干预的效果

老年高血压慢性共病患者实施医院-社区-家庭联动干预的效果

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目的 探讨医院-社区-家庭联动干预模式在老年高血压慢性共病患者中的应用效果.方法 选取2023年1月-2023年6月在大同市某三级甲等医院心内科住院的老年高血压慢性共病患者作为研究对象,采用随机数字表法将研究对象分为干预组和对照组.对照组实施常规康复干预模式,干预组在常规干预方案的基础上实施医院-社区-家庭联动康复干预模式.比较两组患者干预前、干预2个月后的自我管理行为、自我效能感、家庭功能评分以及血压水平.结果 干预2个月后,干预组的自我管理行为得分、一般自我效能感得分、家庭功能得分均明显高于对照组(t=5.683、P<0.001;t=3.428、P<0.01;t=10.460,P<0.001);干预组的收缩压(SBP)(t=3.519,P<0.001)和舒张压(DBP)(t=2.056,P<0.05)均显著低于对照组.结论 医院-社区-家庭联动干预能显著降低老年高血压共病患者的血压水平,提高患者自我管理能力,提升患者自我效能感和家庭功能,改善患者的生活质量.
Effect of hospital-community-family linkage intervention on elderly patients with hypertension multimorbidity
Objective To explore the effect of hospital-community-family linkage intervention on elderly patients with hypertension multimorbidity.Methods The elderly patients with hypertension multimorbidity hospi-talized in the Cardiology Department of a tertiary A hospital in Datong City from January to June 2023 were recrui-ted in this study.The subjects were assigned into intervention group and control group by random number table method.Patients in the control group received conventional rehabilitation intervention,while those in the interven-tion group received hospital-community-family linkage intervention on the basis of conventional intervention.The self-management behavior,blood pressure,self-efficacy and family function scores were compared between the two groups before and 2 months after intervention.Results After 2-month intervention,the scores of self-management behavior,general self-efficacy and family function in the intervention group were significantly higher than those in the control group(t=5.683,P<0.001;t=3.428,P<0.01;t=10.460,P<0.001);The systolic blood pres-sure(SBP)(t=3.519,P<0.001)and diastolic blood pressure(DBP)(t=2.056,P<0.05)in the interven-tion group exhibited a statistically significant reduction compared to those in the control group.Conclusions Hos-pital-community-family linkage intervention can significantly reduce the blood pressure of elderly patients with hy-pertension multimorbidity,enhance their self-management ability,self-efficacy and family function,so as to im-prove their quality of life.

Hospital-community-family linkageSenile chronic diseaseHypertensionMultimorbidityRehabilitation interventionQuality of life

谷青芳、张文雨、赵艳华、段爱旭、孟涛

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山西大同大学护理学院,山西大同 037009

山西大同大学脑科学研究所/分子细胞免疫学大同市重点实验室,山西大同 037009

医院-社区-家庭联动 老年慢病 高血压 共病 康复干预 生活质量

大同市软科学研究计划项目山西大同大学产学研项目

20220802022CXY25

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(9)