The Study Of The Effectiveness Of Blood Pressure Control Of Hypertension Patients Under Self-Management

Objective：With the population of obtaining Non-Communicable Disease is increasingly rise in China, the government started pay more attention to the prevention and control of Non-Communicable disease, and began to establishing the demonstrate district of prevention and control of Non-Communicable Disease within China. This study aims to understanding the effectiveness of blood pressure control between hypertension patients of who participate in or not in the self-management group, exploring the influencing factors of blood pressure control, and providing the evidence-based suggestion to the Self-Management work utilized into the Non-Communicable disease or hypertension prevention and control.Method：Use a method of retrospective survey:utilizing the effectiveness of standardization management of hypertension assessment survey to hypertension patients who participated in or not in the Self-Management group at communities of Gulou and Zhonggong in Kunming. Investigated them about situation of hypertension knowledge, blood pressure control, Self-monitor blood pressure and life behaviors, and then assessed the effectiveness of blood pressure control under Self-Management activities from these of results.Results:The researcher obtained198valid questionnaire from investigation, and from the amount of them there are126hypertension patients who participated in the Self-Management group, and there are72hypertension patients who were not participated in the self-management group. There is a statistically difference of effectiveness of blood pressure control between the hypertension patients who participated in Self-Management and were not participate in self-management group. The concrete data are:there are39.8percent of Self-Management hypertension patients and21.5percent of Unself-Management hypertension patients were blood pressure controlled well, while there are60.2percent of Self-Management hypertension patients and78.5percent of Unself-Management hypertension patients were not blood pressure controlled well. The chi-square test, the difference was statistically significant (x2=6.135, P=0.013). The influencing factors of effect of blood pressure control are:group, age, alcohol consumption, know retinopathy complications of hypertension. Hypertension self-management patients knowing basic knowledge of hypertension were statistically superior to who did not participate in self-management, knowledge such as high blood pressure standard, adult daily salt intake, high blood pressure complications:nephropathy, retinopathy, myocardial infarction, hypertension, treatment of life:quit alcohol limit, low salt and maintain stable attitude, regular exercise is conducive to stable blood pressure. The lifestyle and behaviors such as:control drinking, moderate diet flavors, balanced meal of meat and vegetables proportion, maintaining regular exercise and sport longer which hypertension Self-Management patients were statistically superior to the patients did not participate in self-management.Conclusion:Self-Management for hypertension patients was proved by evidence of blood pressure control had its effect. The researcher suggested that self-management work not only for hypertension patients but also for Non-Communicable Disease patients should be go deep into its development and patients with Non-Communicable Disease should be encouraged into the group of self-managenment at the same time. It will be have great benefits for these of patients’health.