高血压细节管理与分组管理效果比较

Effects of Detail Management and Grouping Management on Hypertension

目的比较高血压细节管理与分组管理实施1年后的效果。方法按照类实验设计,选取干预社区568名高血压患者,对照社区189名高血压患者为研究对象,干预组实施细节管理,对照组实施常规的分组管理。项目实施1年后,比较完成评估的508名干预组病人和178名对照组病人的管理效果。结果干预组在全家酱油食用量下降、舒张压下降、腰围下降、控制胆固醇升高、控制空腹血糖升高、控制血清肌酐升高6个方面的管理效果优于对照组(P均<0.05)。与干预组比较,对照组全家植物油食用量下降、高密度脂蛋白胆固醇升高、低密度脂蛋白胆固醇下降,差异有统计学意义(P均<0.05)。干预组每降低1 mm Hg血压值的成本低于对照组。结论高血压细节管理项目是社区高血压管理的一种有效策略,其长期效果和在社区的持续可操作性尚需进一步探索。

Objective To analyze the effects of 1-year detail management and grouping management on hypertension. Methods The study design was a quasi-experiment. 568 hypertension patients from intervention community and 189 hypertension patients from control community were selected as subjects. The intervention group received detail management on hypertension, and the control group received the routine grouping management. At the end of the study, the effects were compared between 508 intervention subjects and 178 control subjects who completed 1-year intervention. Results The amplitudes of decreasing in intake of sauce, diastolic blood pressure （DBP） and waistline were better in intervention group than in control group （all P〈0.05）. The intervention group also showed greater improvements in controlling the increase of cholesterol, fasting blood glucose and serum creatlnine （Cr） （all P〈0.05）. In addition, the control group had significant improvements in the amplitudes of decreasing intake of oil, low density lipoprotein （LDL） and the degree of increasing high density lipoprotein （HDL） in comparison with the intervention group （all P〈0.05）. The intervention group had lower cost of each lmm Hg decrease than the control group did. Conclusion Detail management program on hypertension was an effective strategy for hypertension management, but its long-term effect and maneuverability need to be further explored.