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目的比较社区自我管理模式与三级管理模式对高血压病人血压分级、控制率的影响,探索有效的高血压管理模式,为开展社区卫生服务提供依据。方法采用以社区为基础的完全随机实验,将413例高血压患者,随机分为自我管理模式组(实验组)和高血压三级管理模式组(对照组),比较实验组(208名)和对照组(205名)6个月后在血压分级、血压控制率等方面的变化。结果实验组高血压三级患者构成比从29.32%下降到17.31%,对照组从31.71%下降到23.42%,实验组下降的幅度高于对照组(P<0.05);实验组血压控制率从23.60%上升到57.20%,对照组从26.80%上升到36.60%,实验组上升的幅度高于对照组(P<0.01)。结论高血压自我管理模式较三级管理模式在控制血压方面效果更好。
Objective To compare the effects of community self-management and three-level management on the blood pressure classification and control rate in hypertensive patients and to explore effective modes of hypertension management to provide the basis for community health services. Methods A total of 413 hypertensive patients were randomly divided into self-management group (experimental group) and hypertensive three-level management group (control group), compared with experimental group (208 patients) Control group (205) after 6 months in the blood pressure classification, blood pressure control rate and other changes. Results Compared with the control group, the control group decreased from 29.32% to 17.31% in the experimental group and from 31.71% to 23.42% in the experimental group (P <0.05). The control rate of blood pressure in the experimental group increased from 23.60% % To 57.20%, while the control group increased from 26.80% to 36.60%. The experimental group increased more than the control group (P <0.01). Conclusion Hypertension self-management mode is better than the three-level management mode in controlling blood pressure.