[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]
点击复制

格林模式在新疆南山牧民高血压风险管理中的应用研究()
分享到：

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.

参考文献/References:

[1]王家威,樊琼玲,罗园园,等.哈萨克族牧民新发高血压影响因素的Cox比例风险模型分析[J].中国全科医学,2019,22(30):3672-3678.[2]徐国辉.社区护理学[M].第四版.北京:人民卫生出版社,2019:36-47. [3]郑黎强.辽宁省阜新县农村社会环境高血压高发区高血压发病风险预测模型的验证与建立[D].沈阳:中国医科大学, 2014. [4]《中国高血压基层管理指南》修订委员会.中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,23(1):24-43,15.[5]傅华.健康教育学[M].第三版.北京:人民卫生出版社,2017:191-194. [6]姚宇游,徐晓燕,吴雪芊.基于格林模式的健康教育在健康体检2型糖尿病高危人群中的应用效果[J].护理实践与研究,2020,17(1):43-45.[7]Nejad MM,Nejad GS,Tavakol H,et al.The effect of the training program on the quality of life in patients with asthma based on the Precede model in Ahvaz,Iran[J].Postepy Dermatol Alergol,2017,34(3):216-223.[8]Bazpour M,Gheibizadeh M,Malehi AS,et al.The Effect of a Training Program Based on the PRECEDE-PROCEED Model on Lifestyle of Adolescents with Beta-Thalassemia: A Randomized Controlled Clinical Trial[J].Int J Hematol Oncol Stem Cell Res,2019,13(1):12-19.[9]Moshki M,Dehnoalian A,Alami A.Effect of Precede-Proceed Model on Preventive Behaviors for Type 2 Diabetes Mellitus in High-Risk Individuals[J].Clin Nurs Res,2017,26(2):241-253.[10]Garratt AM,Stavem K.Measurement properties and normative data for the Norwegian SF-36:results from a general population survey[J].Health Qual Life Outcomes,2017,15(1):51-60.[11]徐月贞,王家威,刘金宝等.新疆哈萨克族人群原发性高血压发病风险预测模型构建[J].现代预防医学,2019,46(16):2885-2889,2894.[12]石福艳.常见慢性病危险因素测量及风险等级评估方法研究[D].西安:第四军医大学,2015.[13]石文惠,沈丹洋,苏玉娟,等.健康生活方式与疾病预防控制[J].中国公共卫生,2020,36(12):1690-1692.[14]Kim MT,Kim KB,Huh B,et al.The effect of a community-based self-help intervention:Korean Americans with type 2 diabetes[J].American Journal of Preventive Medicine,2015,49(5):726-737.[15]孔怡儒,贾绍静,米光丽.基于格林模式的健康教育在2型糖尿病高危人群中的应用[J].中国护理管理,2018,18(12):1644-1649.[16]李英.基于格林模式的健康教育对2型糖尿病患者自我管理行为及HbA1c、血脂、血压的影响[J].中国卫生工程学,2018,17(5):731-733.[17]徐新献,姚武位,李鑫,等.不同年龄组老年高血压患者24h动态脉压和血清胱抑素C水平的比较[J].中华诊断学电子杂志,2017,5(2):90-92.[18]田宁慧一,吕翠.风险评估分级管理系统对妊娠期高血压疾病孕妇围产期凝血指标改善及分娩影响[J].中国计划生育学杂志,2021,29(8):1646-1650.[19]王桢桢,程菊,杨玉姣.社区-医院-家庭三位一体化管理对老年高血压患者控压效果及遵医行为的影响[J]. 山西医药杂志,2021,50(12):1984-1986.[20]徐月贞.乌鲁木齐市南山牧区哈萨克族高血压发病风险预测模型构建及风险管理研究[D].乌鲁木齐:新疆医科大学,2020.[21]蒋鹏.中学生手机使用情况与睡眠模式的相关性研究[D].宁波:宁波大学,2020.

相似文献/References:

[1]颜 明,龚丽娜,王淑清.彩超在高血压患者肾动脉血流动力学检测中的应用分析[J].医学信息,2018,31(02):156.[doi:10.3969/j.issn.1006-1959.2018.02.060]
　YAN Ming,GONG Li-na,WANG Shu-qing.Application of Color Doppler Ultrasound in the Measurement of Renal Artery Hemodynamics in Patients with Hypertension[J].Journal of Medical Information,2018,31(23):156.[doi:10.3969/j.issn.1006-1959.2018.02.060]
[2]夏能能,任 薇,杜建平,等.1953~2016年中医药治疗高血压领域研究热点分析[J].医学信息,2018,31(04):18.[doi:10.3969/j.issn.1006-1959.2018.04.007]
　XIA Neng-neng,REN Wei,DU Jian-ping,et al.Analysis of Hot Spots in the Research of Traditional Chinese Medicine in Treating Hypertension from 1953 to 2016[J].Journal of Medical Information,2018,31(23):18.[doi:10.3969/j.issn.1006-1959.2018.04.007]
[3]靳雪芹,邓正聪.代谢综合征与肿瘤关系的研究进展[J].医学信息,2018,31(05):35.[doi:10.3969/j.issn.1006-1959.2018.05.014]
　JIN Xue-qin,DENG Zheng-cong.Research Progress on the Relationship between Metabolic Syndrome and Tumor[J].Journal of Medical Information,2018,31(23):35.[doi:10.3969/j.issn.1006-1959.2018.05.014]
[4]乔 君,高 翔,王 瑜,等.缬沙坦对原发性高血压患者外周PBMC中IL-17表达的影响[J].医学信息,2018,31(07):65.[doi:10.3969/j.issn.1006-1959.2018.07.021]
　QIAO Jun,GAO Xiang,WANG Yu,et al.The Effect of Valsartan on the Expression of IL-17 in Peripheral PBMC of Patients with Essential Hypertension[J].Journal of Medical Information,2018,31(23):65.[doi:10.3969/j.issn.1006-1959.2018.07.021]
[5]董巧玲.健康教育对原发性高血压患者治疗效果的影响[J].医学信息,2018,31(09):180.[doi:10.3969/j.issn.1006-1959.2018.09.060]
　DONG Qiao-ling.Effect of Health Education on Treatment of Patients with Essential Hypertension[J].Journal of Medical Information,2018,31(23):180.[doi:10.3969/j.issn.1006-1959.2018.09.060]
[6]汤海霞,班 涛.大黄素与心血管疾病的研究[J].医学信息,2022,35(11):19.[doi:10.3969/j.issn.1006-1959.2022.11.006]
　TANG Hai-xia,BAN Tao.Research on Emodin and Cardiovascular Diseases[J].Journal of Medical Information,2022,35(23):19.[doi:10.3969/j.issn.1006-1959.2022.11.006]
[7]沈 正,王庆海.焦虑抑郁障碍与血压变异性研究[J].医学信息,2018,31(16):34.[doi:10.3969/j.issn.1006-1959.2018.16.010]
　SHEN Zheng,WANG Qing-hai.Study on Anxiety and Depression Disorder and Blood Pressure Variability[J].Journal of Medical Information,2018,31(23):34.[doi:10.3969/j.issn.1006-1959.2018.16.010]
[8]左洪亮.苯磺酸左旋氨氯地平片治疗中老年患者 轻中度原发性高血压的疗效观察[J].医学信息,2018,31(16):120.[doi:10.3969/j.issn.1006-1959.2018.16.037]
　ZUO Hong-liang.Efficacy of Levamlodipine Besylate Tablets in Treatment of Mild to Moderate Essential Hypertension in Middle-aged and Elderly Patients[J].Journal of Medical Information,2018,31(23):120.[doi:10.3969/j.issn.1006-1959.2018.16.037]
[9]袁 敏,周袁成.钙离子拮抗剂类降压药的临床应用与不良反应分析[J].医学信息,2018,31(17):125.[doi:10.3969/j.issn.1006-1959.2018.17.038]
　YUAN Min,ZHOU Yuan-cheng.Clinical Application and Adverse Reaction Analysis of Calcium Antagonist Antihypertensive Drugs[J].Journal of Medical Information,2018,31(23):125.[doi:10.3969/j.issn.1006-1959.2018.17.038]
[10]陈学军,李 敏,张 丹,等.社区一体化分级管理模式对社区老年高血压患者的管理效果[J].医学信息,2018,31(18):169.[doi:10.3969/j.issn.1006-1959.2018.18.055]
　CHEN Xue-jun,LI Min,ZHANG Dan,et al.Management Effect of Community Integration Hierarchical Management Mode on Elderly Hypertensive Patients in Community[J].Journal of Medical Information,2018,31(23):169.[doi:10.3969/j.issn.1006-1959.2018.18.055]

更新日期/Last Update: 1900-01-01