医院-社区一体化高血压管理模式干预效果评价

Effects of comprehensive intervention on hypertension under hospital-community integrated health management mode

目的:探讨医院-社区一体化高血压管理模式效果。方法:2010年6月～2011年7月,抽取苏州市盛泽镇1 786例高血压患者,进行为期1年医院-社区一体化高血压综合干预,进行效果评价。结果:与干预前比较,干预后高血压相关知识知晓率、行为方式改善率均明显提高(P均<0.001),高血压患者规范管理率(51.96%比80.33%)、规律服药率(42.22%比74.36%)、血压控制率(40.93%比64.93%)亦明显提高(P均<0.001)。结论:医院-社区一体化高血压管理模式干预效果显著,具有重要示范和推广意义。

Objective： To explore effects of comprehensive intervention on hypertension under hospital-community integrated health management mode.Methods：From Jun 2010 to Jul 2011,a total of 1 786 patients with hypertension from Shengze town of Suzhou city were selected for one-year comprehensive intervention for hypertension under hospital-community integrated health management mode and effects were evaluated then.Result： Compared with before intervention,there were significant increase in awareness rate of relative knowledge of hypertension and improvement rate of behavior patten after intervention（P0.001 both）,and there were also significant increase in standard management rate of hypertension（51.96% vs.80.33%）,rate of regular taking drugs（42.22% vs.74.36%） and control rate of blood pressure（40.93% vs.64.93%） in patients with hypertension after treatment（P0.001 all）.Conclusion： Comprehensive intervention for hypertension under hospital-community integrated health management mode is effective and should be spread in clinic.