社区高血压老年人智慧医养照护志愿服务实践效果评价

目的 探讨智慧医养照护志愿服务在社区高血压老年人健康管理中的实践效果。方法将100例社区高血压老年人随机分为对照组和观察组各50例，对照组给予常规接触式社区医养照护志愿服务管理，观察组给予智慧医养照护志愿服务管理。管理6个月后，比较两组管理前后血压、血糖、健康促进生活方式及依从性的变化。结果管理后观察组收缩压、舒张压、空腹血糖、餐后2 h血糖、糖化血红蛋白显著低于对照组；健康促进生活方式得分显著高于对照组（均P<0.05）。结论智慧医养照护志愿服务能有效控制社区高血压老年人的血压、血糖水平，提高其自我健康管理能力，可为医养照护志愿服务模式及社区慢病智慧化管理提供参考。

Practice of volunteer service based on intelligent medical and nursing care for hypertensive elders in the community

Objective To explore the effect of volunteer service based on intelligent medical and nursing care for hypertensive elders in the community. Methods One hundred hypertensive elders in a community were randomly divided into 2 groups of 50 cases each. The control group was managed with routine contact-based volunteer service provided by the community, while the intervention group were subjected to volunteer service based on intelligent medical and nursing care. After 6 months of management, the changes in blood pressure, blood glucose, health behavior and compliance were compared between the two groups. Results After management, the values of systolic blood pressure, diastolic blood pressure, fasting blood glucose, 2 h PG and HbA1c in the intervention group were significantly lower than those in the control group; the health promoting lifestyle scores in the intervention group were significantly higher than the controls (P<0.05 for all). Conclusion Volunteer service based on intelligent medical and nursing care could effectively control blood pressure and blood glucose level of hypertensive elders in the community, enhance their self-health management skills. This study can provide empirical reference for volunteer service based on medical and nursing care and for intelligent community-based chronic disease management.