Volume 20 Issue 7
Jul.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1085-1088
HUANG Wen-bo, FENG Xian, YAO Yuan-long, WANG Liu-yi. Self-management of hypertensive patients in China from the perspective of general practice[J]. Chinese Journal of General Practice, 2022, 20(7): 1085-1088. doi: 10.16766/j.cnki.issn.1674-4152.002529
Citation: HUANG Wen-bo, FENG Xian, YAO Yuan-long, WANG Liu-yi. Self-management of hypertensive patients in China from the perspective of general practice[J]. Chinese Journal of General Practice, 2022, 20(7): 1085-1088. doi: 10.16766/j.cnki.issn.1674-4152.002529
shu

Self-management of hypertensive patients in China from the perspective of general practice

doi: 10.16766/j.cnki.issn.1674-4152.002529
  • 1.

    Department of General Practice, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China

Funds:

 RKX202101001

  • Received Date: 2021-12-20
    Available Online: 2022-09-23
    Abstract
  • As one of the chronic diseases with the largest number of patients in China, hypertension not only brings a heavy burden to patients and their families but also seriously affects the sustainable development of China's social economy. In July 2019, the State Council issued opinions on the implementation of healthy China action. It clearly implemented the prevention and treatment of cardiovascular and cerebrovascular diseases and strengthened the standardised management of hypertension, hyperglycaemia and dyslipidaemia. At present, the incidence of hypertension in China is still increasing. The traditional medical and health care service model relying solely on outpatient treatment has limited effect on the prevention and treatment of hypertension. The prevention and health care of hypertension are often carried out in families and communities. The management of patients and their families on hypertension has become an important link in the management of hypertension. Effective self-management model not only has an obvious effect on blood pressure control of patients with hypertension but also improves physiological indices and self-management ability. With the continuous improvement of hierarchical diagnosis and treatment mechanism in China, grass-root healthcare institutions have become the main place for hypertension management. Their management level has a far-reaching effect on the development trend of hypertension management in China in the future. Therefore, exploring a set of hypertension self-management models suitable for China is of great importance. From the perspective of general practice, this paper summarises the concept, influencing factors, evaluation forms and management status of self-management of domestic patients with hypertension to explore the hypertension self-management model suitable for China's national conditions and provide new ideas for general practitioners on hypertension management. This study also provides ideas for clinical effective self-management to improve patients' self-management ability and quality of life and relieve the pressure of medical and healthcare institutions.

     

    • FullText(HTML)
  • loading
    • References(41)
  • [1]
    王增武, 胡盛寿. 《中国心血管健康与疾病报告2020》要点解读[J]. 中国心血管杂志, 2021, 26(3): 209-218. doi: 10.3969/j.issn.1007-5410.2021.03.001

    WANG Z Z, HU S S. Interpretation of report on cardiovascular health and diseases in China 2020[J]. Chin J Cardiovasc Med, 2021, 26(3): 209-218. doi: 10.3969/j.issn.1007-5410.2021.03.001
    [2]
    胡盛寿, 韩雅玲, 蔡军, 等. 中国高血压健康管理规范(2019)[J]. 中华心血管病杂志, 2020, 48(1): 10-46. doi: 10.3760/cma.j.issn.0253-3758.2020.01.004

    HU S S, HAN Y L, CAI J, et al. National guideline for hypertension management in China(2019)[J]. Chin J Cardiol, 2020, 48(1): 10-46. doi: 10.3760/cma.j.issn.0253-3758.2020.01.004
    [3]
    ZHOU M G, WANG H D, ZENG X Y, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2019, 394(10204): 1145-1158. doi: 10.1016/S0140-6736(19)30427-1
    [4]
    刘力生. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002

    LIU L S. Guidelines for prevention and treatment of hypertension in China (revised in 2018)[J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002
    [5]
    吴子康, 杜继东, 程洁洁, 等. 杭州市某社区团队成员签约工作进展调查[J]. 中国初级卫生保健, 2018, 32(2): 11-15. doi: 10.3969/j.issn.1001-568X.2018.02.0005

    WU Z L, DU J D, CHENG J J, et al. Investigation on the progress of signing contracts among members of a community team in Hangzhou[J]. Chinese Primary Health Care, 2018, 32(2): 11-15. doi: 10.3969/j.issn.1001-568X.2018.02.0005
    [6]
    周吉. 我国社区高血压管理现状及对策[J]. 应用预防医学, 2020, 26(6): 529-533. doi: 10.3969/j.issn.1673-758X.2020.06.024

    ZHOU J. Current situation and Countermeasures of community hypertension management in China[J]. Applied Prev Med, 2020, 26(6): 529-533. doi: 10.3969/j.issn.1673-758X.2020.06.024
    [7]
    万小惠, 邵申申, 张萍, 等. 专科医联体模式对高血压患者血压控制和自我管理能力的影响[J]. 现代预防医学, 2020, 47(18): 3353-3357. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202018025.htm

    WANG X H, SHAO S S, ZHANG P, et al. Effect of medical specialist joint on regulation of blood pressure and improvement of self-management ability in patients with hypertension[J]. Mod Prev Med, 2020, 47(18): 3353-3357. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202018025.htm
    [8]
    UNDA V F, LLOBERA C J, LORENTE M P, et al. Effectiveness of a multifactorial intervention, consisting of self-management of antihypertensive medication, self-measurement of blood pressure, hypocaloric and low sodium diet, and physical exercise, in patients with uncontrolled hypertension taking 2 or more antihypertensive drugs: The MEDICHY study[J]. Medicine (Baltimore), 2020, 99(17): e19769. DOI: 10.1097/MD.0000000000019769.
    [9]
    ALLEGRANTE J P, WELLS M T, PETERSON J C. Interventions to support behavioral self-management of chronic diseases[J]. Annu Rev Public Health, 2019, 40: 127-146. doi: 10.1146/annurev-publhealth-040218-044008
    [10]
    李辉, 石琳. 延续性护理对青少年高血压患者自我效能与自我管理的影响[J]. 北京医学, 2019, 41(5): 427-429. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201905031.htm

    LI H, SHI L. Effect of continuous nursing on self-efficacy and self-management of adolescent hypertensive patients[J]. Beijing Med J, 2019, 41(5): 427-429. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201905031.htm
    [11]
    ZHANG X, LIAO H, SHI D, et al. Cost-effectiveness analysis of different hypertension management strategies in a community setting[J]. Intern Emerg Med, 2020, 15(2): 241-250. doi: 10.1007/s11739-019-02146-9
    [12]
    WARDLE J. Self management of chronic disease: Handbook of clinical interventions and research[J]. Behavioural Psychotherapy, 1988, 16(1): 70-71. doi: 10.1017/S0141347300008533
    [13]
    LORIG K R, HOLMAN H. Self-management education: History, definition, outcomes, and mechanisms[J]. Ann Behav Med, 2003, 26(1): 1-7. doi: 10.1207/S15324796ABM2601_01
    [14]
    许芬, 孙丽珍. 原发性高血压自我管理水平的影响因素[J]. 泰山医学院学报, 2020, 41(9): 683-689. doi: 10.3969/j.issn.1004-7115.2020.09.011

    XU F, SUN L Z. Influencing factors of self-management level in essential hypertension[J]. J Taishan Med Coll, 2020, 41(9): 683-689. doi: 10.3969/j.issn.1004-7115.2020.09.011
    [15]
    葛广全, 陈道虎, 石振塑, 等. 海口府城地区老年高血压患者自我管理现状调查及其影响因素研究[J]. 实用预防医学, 2019, 26(5): 570-573. doi: 10.3969/j.issn.1006-3110.2019.05.016

    GE G Q, CHEN D H, SHI Z S, et al. Current status of self-management and its influencing factors among elderly patients with hypertension in Fucheng area, Haikou City[J]. Pract Prev Med, 2019, 26(5): 570-573. doi: 10.3969/j.issn.1006-3110.2019.05.016
    [16]
    裴迎营, 蔡雪, 王学东. 老年高血压人群自我管理行为现状及其影响因素分析[J]. 华南预防医学, 2020, 46(5): 486-489. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202005008.htm

    PEI Y Y, CAI X, WANG X D. Status and influencing factors of self-management behavior in elderly with hypertension[J]. South China J Prev Med, 2020, 46(5): 486-489. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202005008.htm
    [17]
    安继梅, 高小莲, 吴广军. 慢性病患者自我管理现状研究及影响因素[J]. 华南预防医学, 2020, 46(5): 577-579. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202005033.htm

    AN J M, GAO X L, WU G J. Current situation and influencing factors of self-management of patients with chronic diseases[J]. South China J Prev Med, 2020, 46(5): 577-579. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF202005033.htm
    [18]
    DING W, LI T, SU Q, et al. Integrating factors associated with hypertensive patients' self-management using structural equation modeling: A cross-sectional study in Guangdong, China[J]. Patient Prefer Adherence, 2018(12): 2169-2178.
    [19]
    祁欢, 陈婷, 张庆华, 等. 社区高血压患者健康素养与自我管理能力的典型相关分析[J]. 中华行为医学与脑科学杂志, 2021, 30(3): 262-266. doi: 10.3760/cma.j.cn371468-20200526-01407

    QI H, CHEN T, ZHANG Q H, et al. Canonical correlation between health literacy and self-management ability of patients with hypertension in community[J]. Chin J Behav Med Brain Sci, 2021, 30(3): 262-266. doi: 10.3760/cma.j.cn371468-20200526-01407
    [20]
    STRECHER V J, DEVELLIS B M, BECKER M H, et al. The role of self-efficacy in achieving health behavior change[J]. Health Educ Q, 1986, 13(1): 73-92. doi: 10.1177/109019818601300108
    [21]
    XIE Z Z, LIU K F, OR C, et al. An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension[J]. BMC Public Health, 2020, 20(1): 1227. doi: 10.1186/s12889-020-09274-4
    [22]
    刘小丽, 李英, 徐琴. 社区高血压患者自我管理相关因素的结构方程模型分析[J]. 心脑血管病防治, 2021, 21(3): 274-276, 284.

    LIU X L, LI Y, XU Q. Structural equation model analysis of self-management related factors of hypertension patients in community[J]. Cardio-Cerebrovasc Dis Prev Trea, 2021, 21(3): 274-276, 284.
    [23]
    朱玉堂, 丁丽华. 原发性高血压患者自我管理能力现状及影响因素分析[J]. 中国初级卫生保健, 2019, 33(7): 55-56. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW201907018.htm

    ZHU Y T, DING L H. Self-management ability of patients with essential hypertension and its influencing factors[J]. Chinese Primary Health Care, 2019, 33(7): 55-56. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW201907018.htm
    [24]
    唐源, 胡红娟, 陈星星, 等. 社区高血压患者自我管理行为现状及影响因素分析[J]. 中南医学科学杂志, 2018, 46(6): 660-663.

    TANG Y, HU H J, CEHN X X, et al. Analysis of self-management behavior and influencing factors of hypertension patients in community[J]. Med Sci J Cent South China, 2018, 46(6): 660-663.
    [25]
    任国珍. 老年高血压病患者自我管理能力及影响因素研究[J]. 中国药物与临床, 2021, 21(4): 709-710. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202104081.htm

    REN G Z. Study on self-management ability and influencing factors of elderly patients with hypertension[J]. Chin Rem Clin, 2021, 21(4): 709-710. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202104081.htm
    [26]
    QU Z, PARRY M, LIU F, et al. Self-management and blood pressure control in China: A community-based multicentre cross-sectional study[J]. BMJ Open, 2019, 9(3): e025819. DOI: 10.1136/bmjopen-2018-025819.
    [27]
    田海艳, 叶运莉, 朱贤, 等. 社区高血压病管理对患者自我管理的影响分析[J]. 中国健康教育, 2018, 34(12): 1086-1089. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201812007.htm

    TIAN H Y, YE Y L, ZHU X, et al. Analysis on the effect of hypertension community management on patients' self-management[J]. Chinese Journal of Health Education, 2018, 34(12): 1086-1089. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201812007.htm
    [28]
    冯晗博, 张鑫, 李小寒. 辽宁省社区老年高血压患者自我管理能力和生活质量的相关性[J]. 中国医科大学学报, 2020, 49(4): 331-335. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK202004009.htm

    FENG H B, ZHANG X, LI X H. Correlation between self-management ability and quality of life of older hypertension patients living in community in Liaoning Province[J]. J China Med Univ, 2020, 49(4): 331-335. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK202004009.htm
    [29]
    赵秋利, 刘晓. 高血压病人自我管理行为测评量表的编制及信度、效度检验[J]. 中国护理管理, 2012, 12(11): 26-31. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201211014.htm

    ZHAO Q L, LIU X. Reliability and Validity of the Hypertension Patients Self-Management Behavior Rating Scale (HPSMBRS)[J]. Chinese Nursing Management, 2012, 12(11): 26-31. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201211014.htm
    [30]
    宫悦华, 王慕然, 朱燕琴, 等. 中青年高血压病人自我管理行为量表的编制及信效度检验[J]. 护理研究, 2021, 35(9): 1649-1652. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202109027.htm

    GONG Y H, WANG M R, ZHU Y Q, et al. Development of self-management behavior scale in young and middle-aged patients with hypertension and its reliability and validity test[J]. Chinese Nursing Research, 2021, 35(9): 1649-1652. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202109027.htm
    [31]
    郑东鹏, 卢爱敏, 许友贤. 基于高血压病诊疗实践的上海市慢性病长处方签约服务的效果评价[J]. 中华全科医学, 2019, 17(4): 583-585, 681. doi: 10.16766/j.cnki.issn.1674-4152.000741

    ZHENG D P, LU A M, XU Y X. The evaluation of routine hypertension therapy based contract service on the long-term prescription in Shanghai[J]. Chinese Journal of General Practice, 2019, 17(4): 583-585, 681. doi: 10.16766/j.cnki.issn.1674-4152.000741
    [32]
    刘士勇, 郗海香. 基于高血压病诊疗实践的慢性病长处方签约服务的效果[J]. 慢性病学杂志, 2021, 22(7): 1058-1060. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSO202107025.htm

    LIU S Y, XI H X. Effect of long prescription signing service for chronic diseases based on the practice of diagnosis and treatment of hypertension[J]. Chronic Pathematology J, 2021, 22(7): 1058-1060. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSO202107025.htm
    [33]
    CHIU T M, TAM K T, SIU C F, et al. Validation study of a Chinese version of Partners in Health in Hong Kong (C-PIH HK)[J]. Qual Life Res, 2017, 26(1): 199-203.
    [34]
    RAMACHANDRAN J, SMITH D, WOODMAN R, et al. Psychometric validation of the Partners in Health scale as a self-management tool in patients with liver cirrhosis[J]. Intern Med J, 2021, 51(12): 2104-2110.
    [35]
    SMITH D, FAIRWEATHER-SCHMIDT A K, HARVEY P, et al. Does the Partners in Health scale allow meaningful comparisons of chronic condition self-management between men and women? Testing measurement invariance[J]. J Adv Nurs, 2019, 75(11): 3126-3137.
    [36]
    傅东波, 丁永明, 杨柯君, 等. 高血压自我管理健康教育项目效果评价[J]. 复旦学报(医学版), 2005, 32(3): 284-288, 294. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK200503008.htm

    FU D B, DING Y M, YANG K J, et al. Evaluation of hypertension self-management patient education program[J]. Fudan Univ J Med Sci, 2005, 32(3): 284-288, 294. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYK200503008.htm
    [37]
    王朝昕, 陈宁, 刘茜, 等. 我国全科医学科研发展的回溯与展望: 发展历史、研究领域及瓶颈分析[J]. 中华全科医学, 2019, 17(7): 1069-1072, 1141. doi: 10.16766/j.cnki.issn.1674-4152.000865

    WANG Z X, CHEN N, LIU Q, et al. The retrospect and prospect of the development of general practice research in China - The analysis of development, research fields and bottlenecks[J]. Chinese Journal of General Practice, 2019, 17(7): 1069-1072, 1141. doi: 10.16766/j.cnki.issn.1674-4152.000865
    [38]
    ZHANG Y, LIU S, SHENG X, et al. Evaluation of a community-based hypertension self-management model with general practitioners[J]. Int J Health Plann Manage, 2019, 34(3): 960-974.
    [39]
    黄露, 张世应. 社区高血压管理模式对高血压患者的干预效果评价[J]. 药物流行病学杂志, 2020, 29(12): 861-864. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLX202012014.htm

    HUANG L, ZHANG S Y. Evaluation of the intervention effect of community hypertension management model on hypertension patients[J]. Chin J Pharmacoepidemio, 2020, 29(12): 861-864. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLX202012014.htm
    [40]
    樊小莉. 医院-社区-家庭健康管理对老年高血压患者自我效能及自我管理能力的影响分析[J]. 现代诊断与治疗, 2021, 32(4): 645-646. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202104070.htm

    FAN X L. Analysis of the influence of hospital-community-family health management on self-efficacy and self-management ability of elderly hypertensive patients[J]. Mod Diagn Treat, 2021, 32(4): 645-646. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202104070.htm
    [41]
    刘海英. 认知行为干预对社区高血压患者血压水平及自我管理行为的影响[J]. 中国社区医师, 2021, 37(9): 167-168. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202109082.htm

    LIU H Y. Effect of cognitive behavioral intervention on blood pressure level and self-management behavior of patients with hypertension in community[J]. Chinese Community Doctors, 2021, 37(9): 167-168. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202109082.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (605) PDF downloads(67) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return