关键词: 高血压, 社区卫生服务, 血压测定

Abstract: Objective　To explore the effect of missionary education of self-monitoring blood pressure among community-dwelling hypertensive patients.Methods　This study was carried out from September 2016 to June 2017，all the enrolled hypertensive patients were from communities governed by Xuhui District Fenglin Neighborhood Committee and received contractual hypertension management services by using convenient sampling，including 120 cases from Wannan community who voluntarily received antihypertensive drug treatment，conventional community-based management combined with missionary education of self-monitoring blood pressure（intervention group） and 120 from other 3 communities（Donger，Ximu and Jinxie） who voluntarily received only antihypertensive drug treatment and conventional community-based management（control group）．Community-dwelling hypertensive patients' awareness of standardized using electronic sphygmomanometer questionnaire was used to assess the awareness of standardized using electronic sphygmomanometer.And standardized using electronic sphygmomanometer assessment scale was adopted to evaluate the status of using electronic sphygmomanometer.Results　8 weeks after receiving intervention，the awareness rates of diagnostic threshold of hypertension，precautions for blood pressure measurement，selection of position for blood pressure measurement，position of the arm during blood pressure measurement in sitting position，correct placement of the cuff，tightness of the cuff，frequency of blood pressure measurement，time of blood pressure measurement，selection of electronic sphygmomanometer，and other matters needing attention in the intervention group increased significantly compared with before intervention（P<0.05），and they were much higher than those of the control group（P<0.05）．At each of the 4 measurement times after intervention（1，2，4，8 weeks after intervention），the intervention group achieved much higher scores in standardized measurement of blood pressure by using electronic sphygmomanometer compared with before intervention，as well as the control group（P<0.05）．Conclusion　By missionary education of self-monitoring blood pressure，community-dwelling hypertensive patients（even all of them） could know the correct way for measuring blood pressure，the accuracy of patients' self-measurement of blood pressure could be increased，patients' self-management of blood pressure could be enhanced，efficiency of hypertension management from a family doctor team could be improved，by which the blood pressure monitoring could reach the standard.This education way of self-monitoring blood pressure offers a reference for community-based chronic disease management.

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