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目的观察规范管理在社区高血压患者管理的应用效果,改善社区高血压控制效果。方法将符合入组标准的363例朝阳门社区高血压患者随机分为观察组和对照组两组,观察组255例,对照组108例,对照组进行一般管理;观察组进行规范管理,包括建立患者电子健康档案、饮食管理、健康教育、运动干预、药物管理,两组均干预1年。干预前后进行行为生活方式及高血压知识问卷调查,比较两组干预3个月、6个月、9个月、12个月后的血压控制达标率。采用SPSS 17.0统计软件进行统计分析,计数资料用率(%)表示,采用χ2检验,P<0.05为差异有统计学意义。结果观察组干预3个月、6个月、9个月后的血压控制达标率均明显高于对照组,差异有统计学意义(P均<0.01)。观察组干预后规律服药、高盐饮食、体育锻炼、高血压知识得分合格率均较干预前显著改善(P<0.05),对照组干预前后各项指标均未明显变化;观察组干预后规律服药、高血压知识得分合格率均明显优于对照组(P<0.01)。结论规范管理能够改善社区高血压患者的生活行为方式,从而提高血压控制率,降低并发症发生率,患者知识知晓率,是社区高血压防治和管理的有效措施。
Objective To observe the effect of standard management in the management of community hypertension patients and to improve the control effect of community hypertension. Methods A total of 363 hypertensive patients in Chaoyangmen community were enrolled in this study. The observation group and the control group were randomly divided into observation group (255 cases) and control group (108 cases). The control group was under general management. The observation group Patient’s electronic health record, diet management, health education, exercise intervention, drug management, both interventions were 1 year. Before and after intervention behavioral lifestyle and hypertension knowledge questionnaire, compared two groups intervention 3 months, 6 months, 9 months, 12 months after the blood pressure control compliance rate. Using SPSS 17.0 statistical software for statistical analysis, count data rate (%) that the use of χ2 test, P <0.05 for the difference was statistically significant. Results The compliance rate of blood pressure control in observation group at 3 months, 6 months and 9 months after intervention was significantly higher than that in control group (P <0.01). The observation group received regular medication, high-salt diet, physical exercise and hypertension scores significantly improved after intervention (P <0.05), and no significant changes were observed in the control group before and after the intervention. In the observation group, regular medication , The passing rate of knowledge of hypertension scores were significantly better than the control group (P <0.01). Conclusions Standardized management can improve the lifestyle behaviors of hypertensive patients in community, so as to improve the blood pressure control rate, reduce the complication rate and the knowledge rate of patients. It is an effective measure to prevent and control hypertension in community.