社区综合防治对高血压患者生活质量的影响

Community-based Integrated Control of Hypertension in Patients with the Evaluation of the Quality of Life

目的评价在社区实施综合防治对高血压患者生活质量及其血压控制效果的影响。方法对120例社区综合防治管理的原发性高血压患者采用问卷卷方式调查其生活质量指标,并检测其动态血压指标。比较实施前、后动态血压及生活质量的变化。结果实施社区综合管理前后高血压患者的合理膳食、坚持锻炼、定期检测、遵医用药卫生行为间差异有统计学意义(P<0.01)。实施社区综合管理前后高血压患者的躯体感觉、认识功能、社会参与能力、生活满足感评分间差异均有统计学意义(P<0.01),睡眠状态管理前后差异无统计学意义(P>0.05)。120例患者高血压的总有效率为87.5%。实施社区综合防治管理后高血压患者的24hSBP、24hDBP、dSBP、dDBP、nSBP、nD-BP、SBPload及DBPload均有明显的降低,前后比较差异有统计学意义(P<0.01)。结论社区综合防治管理对高血压患者实施的行为干预,在改善高血压患者行为生活方式、提高生活质量、提高其血压控制率等方面有积极作用。

Objective Evaluation of the implementation of integrated prevention and treatment in the community for the quality of life of hypertensive patients and its evaluation of blood pressure control. Methods 120 cases of community - based integrated control of the management of patients with essential hypertension using the questionnaire approach to investigate the volume quality of life indicators, and indicators of ambulatory blood pressure was detected. Compared before and after ambulatory blood pressure changes and changes in quality of life. Results Ambulatory blood pressure before and after the implementation of its various targets, in patients with somatic symptoms, understand the function of the capacity of social participation, norms, such as taking the ease of life satisfaction are statistically significant comparison （P 〈 0. 01 ）, sleep was no statistical significance （P 〉 0. 05 ）. Conclusion Community Integrated Management of hypertension prevention and treatment of behavioral intervention patients, patients with high blood pressure acts to improve the way of life, improve the quality of life, improve their blood pressure control rate to increase the rate of compliance has a positive effect and so on.