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目的比较研究上海市社区高血压疾病细节管理、社会资源管理以及现行的社区高血压管理模式的运行效果。方法对闸北区3个社区430名高血压患者,开展为期1年的高血压社区综合干预。其中社会资源管理组172人,细节化管理组111人,对照组147人。结果干预后社会资源管理组高血压诊断标准的知晓率从62.2%上升到87.2%,每日食盐摄入量从4.6g减少到了4.0g,血压平均下降10.3/2.6mmHg。部分指标改善情况优于细节管理组与对照组。结论在社区高血压管理的过程中引入社会疾病管理资源可有效提高社区管理的效率,还可将社会疾病管理资源作为细节管理模式或者传统三级管理模式的补充,帮助提高现有模式的适用性。
Objective To comparatively study the effect of community hypertension management in detail, social resource management and current community hypertension management mode in Shanghai. Methods A total of 430 hypertensive patients in 3 communities in Zhabei District were enrolled in this study. Among them, 172 were social resource management group, 111 were detail management group and 147 were control group. Results After the intervention, the awareness rate of hypertension in social resource management group increased from 62.2% to 87.2%. The daily salt intake decreased from 4.6g to 4.0g, and the average blood pressure decreased by 10.3 / 2.6mmHg. Some indicators improved better than the detail management group and control group. Conclusion The introduction of social disease management resources in the process of community hypertension management can effectively improve the efficiency of community management. Social disease management resources can also be used as a supplement to the detail management mode or the traditional tertiary management mode to help improve the applicability of the existing modes .