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目的探讨贵阳市瑞华社区高血压患者行规范化管理的价值。方法选择贵阳市瑞华社区高血压患者500例,通过发放调查问卷统计高血压患者对高血压知识的知晓率、疾病的控制率、治疗率及规范化管理前后患者血压情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果调查问卷共发放500份,回收500份,回收率为100.00%,高血压健康知识的知晓率为66.00%,疾病的控制率为50.00%,高血压的治疗率为55.00%;规范化管理患者知晓率81.82%高于未规范化管理患者53.57%,差异有统计学意义(P<0.05);规范化管理后患者收缩压(83.56±8.80)mm Hg、舒张压(133.36±11.25)mm Hg低于规范化管理前[(95.37±8.94)、(152.22±17.71)mm Hg],差异有统计学意义(均P<0.01)。结论贵阳市瑞华社区高血压患者健康知识知晓率、疾病的控制率、高血压治疗率偏低,规范管理后患者知晓率增高,血压明显降低。
Objective To explore the value of standardized management of hypertensive patients in Ruihua community in Guiyang. Methods 500 cases of hypertensive patients in Ruihua community of Guiyang were selected. Through questionnaires, the knowledge of hypertension, the control rate of disease, the treatment rate and the blood pressure before and after the standardized management were collected. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results A total of 500 questionnaires were sent out and 500 samples were recovered with the recovery rate of 100.00%. The awareness rate of hypertension health knowledge was 66.00%, the disease control rate was 50.00% and the treatment rate of hypertension was 55.00%. The standardized management of patient awareness (83.56 ± 8.80) mm Hg, and diastolic blood pressure (133.36 ± 11.25) mm Hg were lower than those of standardized management (83.56 ± 8.80 mmHg) after standardized management in patients with standardized management, which was significantly higher than that of patients without standardized management (81.82% vs 53.57%, P <0.05) (95.37 ± 8.94), (152.22 ± 17.71) mm Hg], the difference was statistically significant (all P <0.01). Conclusion The awareness of health knowledge, the control rate of disease and the treatment rate of hypertension in Guiyang Ruihua Community Hypertensive Patients are low, and the awareness rate of patients after standard management is increased and the blood pressure is obviously decreased.