论文部分内容阅读
目的:探讨农村老年高血压患者治疗的决策,随访调查药物治疗效果与社区综合干预措施的有效性。方法:以桐村镇社区卫生服务中心业务辖区5个行政村的老年高血压患者210例为观察对象,建立健康档案,随访血压变化,考核疗效。结果:210例老年高血压知晓率100%,用药治疗率67.62%,用药的142例达标率66.6%,其中单一用药达标率55.6%(50/90),联合用药达标率88.5%(46/52)。未用药的68例,采取健康教育,生活方式干预,血压控制率为8.82%(6/68)。210例老年高血压农村社区综合干预的总有效率48.57%。综合干预后较干预前,患者收缩压、舒张压及脉压差均有明显下降(P<0.01)。结论:农村老年高血压患者治疗达标是关键,对每个高血压患者生活方式干预是基础,相当一部分患者需联合用药,加强社区随访制度,提高治疗的依从性,降低治疗成本,是提高农村老年高血压患者治疗达标率的有效手段。
OBJECTIVE: To investigate the policy-making of elderly hypertensive patients in rural areas and to investigate the effectiveness of drug treatment and community-based interventions. Methods: A total of 210 elderly hypertensive patients in 5 administrative villages in Tongchuang Community Health Service Center were selected as the observation objects. Health records were established and blood pressure changes were followed up to evaluate the curative effect. Results: The awareness rate of hypertension in 210 cases was 100%, the treatment rate was 67.62%, and the compliance rate of medication in 142 cases was 66.6%, of which the single drug compliance rate was 55.6% (50/90) and the combined drug compliance rate was 88.5% (46/52 ). Sixty-eight patients who did not receive medication took health education and lifestyle intervention, and the rate of blood pressure control was 8.82% (6/68). The total effective rate of comprehensive intervention in 210 elderly hypertensive rural communities was 48.57%. Compared with before intervention, the systolic pressure, diastolic pressure and pulse pressure difference decreased obviously (P <0.01). Conclusion: The treatment of hypertension in rural elderly patients is the key to the standard of treatment, lifestyle intervention for each hypertensive patients is the foundation, a considerable number of patients need to be combined with drugs to strengthen community follow-up system to improve treatment compliance and reduce treatment costs, is to improve rural elderly Hypertensive patients effective rate of treatment of effective means.