高血压患者健康档案管理效果评价

Evaluation of Health Archive Management of Hypertension Patients

目的评价高血压健康档案管理的效果,探讨社区高血压综合防治的有效方法。方法采用问卷调查的方式对北京市石景山区永乐西小区152例高血压患者进行为期1年的健康档案系统管理、规范治疗、定期随访,对比分析健康教育后患者血压、危险度分层、高血压相关知识知晓率等方面的变化。结果152例患者血压控制率为71.1%,152例高血压患者健康档案管理前后危险度分层间差异无统计学意义(P=0.08)。健康档案管理前后152例患者对高血压的标准、并发症、戒烟限酒、合理运动、规律服药、自测血压的知晓率间差异均有统计学意义(P<0.01)。结论高血压的健康档案系统管理能提高高血压的控制率,是综合防治高血压的有效方法。

Objective To evaluate health archive management of hypertension patients, to explore effective community prevention and treatment of hypertension. Methods A questionnaire survey was performed on one - year health archive system management, standardized treatment, regular follow- up, and patients＇ blood pressure, risk stratification and hypertension -related knowledge awareness after health education in 152 hypertension patients in West Yongle community of Shijingshan District. Results Blood pressure control rate was 71.05% in all. There was no significant difference in risk stratification between pre - and pest - establishment of health archive management （ u = 1.75, P = 0. 08 ）. Patients＇ knowledge on hypertension standards, complications, restriction of smoking and alcohol, reasonable exercises, regular medicine - taking, and self- measurement of blood pressure was improved significantly after establishment of health archive management （ P 〈 0. 01 ）. Conclusion Health archive management of hypertension patients can improve the control rate of hypertension, and is an effective approach to prevention and treatment of hypertension.