为高血压患者制定合适的自我护理模式：东地中海区域办事处的首次经验。
Developing an appropriate model for self-care of hypertensive patients: first experience from EMRO.
作者信息
Sadeghi Masoumeh, Shiri Mansoor, Roohafza Hamidreza, Rakhshani Fatemeh, Sepanlou Sadaf, Sarrafzadegan Nizal
机构信息
Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
ARYA Atheroscler. 2013 Jun;9(4):232-40.
BACKGROUND
Cardiovascular diseases (CVDs) constitute 53% of deaths above the age of 30; 54% of these deaths are attributed to high blood pressure. Coronary artery disease (CAD) is the main cause of mortality in the world. Hypertension accounts for 13% of mortalities and 6% of morbidities and is one of the main risk factors that cause loss of healthy life years. Blood pressure is not optimally controlled even among those who are aware of their disease. Previous studies showed that apart from pharmacological treatment, lifestyle improvement can also play a significant role in the prevention of high blood pressure CVDs. Self-care among them has been addressed in several previous studies. There are few self-care programs in Iran, but no study has been conducted on blood pressure.
METHODS
In this study the primary model is designed and then revised, and in the pilot study the feasibility of the project was approved and the final model presented.
RESULTS
The current project proposes a model for self-care of hypertensive patients and their families, and is based on education of health care providers and patients in such a way that patients can control their illness.
CONCLUSION
The model can be implemented at a national scale.
背景
心血管疾病（CVDs）占30岁以上人群死亡人数的53%；其中54%的死亡归因于高血压。冠状动脉疾病（CAD）是全球主要死因。高血压导致13%的死亡和6%的发病，是导致健康生命年损失的主要危险因素之一。即使在知晓自己患病的人群中，血压也未得到最佳控制。先前的研究表明，除药物治疗外，改善生活方式在预防高血压性心血管疾病中也可发挥重要作用。此前已有多项研究探讨了其中的自我护理问题。伊朗的自我护理项目较少，但尚未有关于血压的研究。
方法
本研究先设计了初始模型，随后进行修订，在试点研究中项目的可行性得到认可，并展示了最终模型。
结果
当前项目提出了一个高血压患者及其家庭自我护理的模型，该模型基于对医疗服务提供者和患者的教育，使患者能够控制自身疾病。
结论
该模型可在全国范围内实施。
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