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目的:探讨社区高血压糖尿病自我管理对患者相关行为影响。方法:选择2014年2月至2015年12月中山市石岐区社区卫生服务中心高血压患者2300例,糖尿病患者800例为研究对象,根据患者意愿对其中1700例患者进行为期1年的慢性病自我管理,1400例患者未进行任何管理。1年后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者心理状态进行评价,同时,采用社区自治自我管理自护行为评价表对患者饮食管理、运动管理、药物管理等方面进行评价。结果:1年后,观察组患者SAS、SDS评分均有明显改善,差异具有统计学意义(P<0.05),但对照组无明显变化,差异无统计学意义(P>0.05)。观察组患者饮食管理、运动管理、药物管理等方面评分均显著优于对照组,差异具有统计学意义(P<0.05)。结论:针对高血压糖尿病患者可行社区自我管理教育干预,可显著改善患者心理状态,提高其自我护理行为和管理能力,有助于控制疾病。
Objective: To explore the impact of community-based hypertension self-management on patient-related behaviors. Methods: From February 2014 to December 2015, 2,300 hypertension patients and 800 diabetic patients in Shiqi District Community Health Service Center of Zhongshan were enrolled. According to their wishes, 1700 patients were treated for one year chronic disease Management, 1400 patients without any management. One year later, the anxiety self-rating scale (SAS) and the depression self-rating scale (SDS) were used to evaluate the psychological status of both groups. At the same time, the community self-management self-care behavior evaluation form was used to evaluate the diet management, exercise management , Drug management and other aspects of evaluation. Results: After one year, the scores of SAS and SDS in the observation group were significantly improved, the difference was statistically significant (P <0.05), but there was no significant change in the control group, the difference was not statistically significant (P> 0.05). The observation group patients diet management, exercise management, drug management scores were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: A feasible community self-management education intervention for hypertensive diabetic patients can significantly improve the patient’s psychological status, improve their self-care behavior and management ability, and help control the disease.