[1]徐月贞,王家威,樊琼玲,等.格林模式在新疆南山牧民高血压风险管理中的应用研究[J].医学信息,2022,35(23):55-60.[doi:10.3969/j.issn.1006-1959.2022.23.009]
　XU Yue-zhen,WANG Jia-wei,FAN Qiong-ling,et al.Application of the Precede-Proceed Model in Hypertension Risk Management of Pastoralists in Nanshan,Xinjiang[J].Journal of Medical Information,2022,35(23):55-60.[doi:10.3969/j.issn.1006-1959.2022.23.009]
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格林模式在新疆南山牧民高血压风险管理中的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年23期
页码:
55-60
栏目:
论著
出版日期:
2022-12-01

文章信息/Info

Title:
Application of the Precede-Proceed Model in Hypertension Risk Management of Pastoralists in Nanshan,Xinjiang
文章编号:
1006-1959（2022）23-0055-06
作者:
徐月贞; 王家威; 樊琼玲; 等
（1.新疆医科大学护理学院，新疆 乌鲁木齐 830011；2.乌鲁木齐县水西沟卫生院，新疆 乌鲁木齐 8300003.乌鲁木齐县小渠子乡卫生院，新疆 乌鲁木齐 830000)
Author(s):
XU Yue-zhen; WANG Jia-wei; FAN Qiong-ling; et al.
(1.School of Nursing,Xinjiang Medical University,Urumqi 830000,Xinjiang,China;2.Xinjiang Urumqi County Shuixigou Center Hospital,Urumqi 830000,Xinjiang,China;3.Xinjiang Urumqi County Xiaoqu Xiang Hospital,Urumqi 830000,Xinjiang,China)
关键词:
格林模式; 高血压; 健康管理
Keywords:
Precede-Proceed model; Hypertension; Health management
分类号:
R544.1
DOI:
10.3969/j.issn.1006-1959.2022.23.009
文献标志码:
A
摘要:
目的 探讨基于格林模式对新疆南山牧区高血压高危牧民进行健康管理的效果。方法 于2019年1月-12月采用典型抽样法从乌鲁木齐市南山牧区筛选出符合条件的高危人群300人进行高血压风险管理，按照随机数字表法分为干预组和对照组。干预组基于格林模式理论进行高血压危险因素管理，对照组根据基层卫生服务规定的要求进行管理，比较两组干预前后过程、效应和结局评价结果。结果 过程评价：干预组干预后6、12个月知识、态度、行为得分及总分高于对照组（P＜0.05）；效应评价：干预组干预后SBP、DBP、摄盐量、腹围、TG、LDL-C优于对照组（P＜0.05），而两组BMI、TC、HDL-C比较，差异无统计学意义（P＞0.05）；结局评价：干预组干预后高血压发病危险分层、生活质量优于对照组（P＜0.05）。结论 基于格林模式高血压发病风险管理可改变高血压高危人群的相关行为，降低高血压的发病危险因素，提高生活质量。
Abstract:
Objective To explore the effect of health management based on Precede-Proceed model on high-risk pastoralists with hypertension in Nanshan, Xinjiang.Methods From January to December 2019, a total of 300 eligible high-risk people were selected from Nanshan Pastoral Area of Urumqi by typical sampling method for hypertension risk management. According to the random number table method, they were divided into intervention group and control group. The intervention group was treated with hypertension risk factors intervention based on Precede-Proceed model, and the control group was treated with hypertension risk factors intervention according to the requirements of basic health services, and the intervention process, effect and outcome were evaluated between the two groups.Results In terms of process evaluation, the scores of knowledge, attitude, behavior and total score in the intervention group were higher than those in the control group at 6 and 12 months after intervention (P<0.05). In terms of effect evaluation, SBP, DBP, salt intake, abdominal circumference, TG and LDL-C in the intervention group after intervention were better than those in the control group (P<0.05), but there was no significant difference in BMI, TC and HDL-C between the two groups (P>0.05). In terms of outcome evaluation, The risk stratification of hypertension and quality of life in the intervention group were better than those in the control group (P<0.05).Conclusion The risk management of hypertension based on Precede-Proceed model can change the related behaviors of hypertension high-risk population, reduce the risk factors of hypertension, and improve the quality of life.

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更新日期/Last Update: 1900-01-01