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认知行为小组工作对提升老年高血压患者自我管理能力的干预效果

Intervention Effect of Cognitive Behavioral Group Work on Improving Self-Management Ability of Elderly Hypertensive Patients

Progress in Social Sciences / 2025,7(11): 932-938 / 2025-12-03 41 27

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• Authors: 韩佳佳 陆静 刘瑞
• Information:

  上海市浦东新区公利医院社工部，上海

• Keywords:
  Cognitive behavior; Self-management; Group work; Medical social worker; Elderly hypertensive patients
  认知行为; 自我管理; 小组工作; 医务社工; 老年高血压患者
• Abstract: Objective: To explore the intervention effect of group work led by medical social workers on the selfmanagement ability of elderly hypertensive patients under the guidance of cognitive behavioral theory. Methods: A quasi-experimental design was adopted, and 46 elderly hypertensive patients from a Grade III hospital in Shanghai were selected and divided into an experimental group (n=20) and a control group (n=26). The experimental group received a 10-week cognitive behavioral group intervention, while no intervention was implemented in the control group. The effect was evaluated by the Hypertension Patient Self-Management Behavior Rating Scale (HPSMBRS) and blood pressure monitoring. Results: After the intervention, the total score of self-management ability and the scores of 6 dimensions (including medication management and disease monitoring) of patients in the experimental group were significantly improved (p<0.05), and blood pressure control tended to be stable; although the pre-test and post-test of the control group improved to a certain extent, the difference was not significant (p>0.05).Conclusion: Cognitive behavioral group work led by medical social workers can effectively improve the self-management level of elderly hypertensive patients, providing practical basis for the health management of elderly hypertensive patients. 目的：探讨认知行为理论指导下，由医务社工主导的小组工作对老年高血压患者自我管理能力的干预效果。方法：采用准实验设计，选取上海市某三级医院46名老年高血压患者，分为实验组（n=20）与对照组（n=26）。实验组接受10周认知行为小组干预，对照组不实施干预，通过高血压病人自我管理行为测评量表（HPSMBRS）及血压监测评估效果。结果：干预后，实验组患者自我管理能力总分及用药管理、病情监测等6个维度得分均显著提升（p<0.05），血压控制趋于稳定；对照组前后测虽有一定程度改善，但差异不显著（p＞0.05）。结论：医务社工主导的认知行为小组工作能有效提升老年高血压患者自我管理水平，为老年高血压健康管理提供实践依据。
• DOI: https://doi.org/10.35534/pss.0711158 (registering DOI)
• Cite: 韩佳佳，陆静，刘瑞．认知行为小组工作对提升老年高血压患者自我管理能力的干预效果［J］．社会科学进展，7（11）：932-938.