高血压社区规范化管理效果分析

The effectiveness analysis of Community standardized management of hypertension

目的分析380例高血压患者通过社区规范化管理一年后的效果。方法 2011年4月至2012年4月对本院服务辖区建立健康档案的380例原发性高血压病患者进行高血压慢性病规范化管理,经过一年的社区干预管理后,对高血压患者的各项指标进行分析。结果高血压患者收缩压(SBP)和舒张压(DBP)下降显著(P<0.05),整体血压水平收缩压平均下降13mmHg,舒张压平均下降幅度为9mmHg,血压控制率从32.1%上升到68.4%;高血压判断标准知晓率由干预前的25%上升到72.4%,显著高于干预前(P<0.01)。其生活方式(遵医行为、体育锻炼、食盐量、戒烟限酒)明显改善。结论社区规范化管理可以显著控制高血压患者的血压,改善高血压患者的不良习惯,有效提高高血压的知晓率和控制率。

Objective Analysis of 380 cases of hypertension patients through one year of standardized management in the community.Methods From April 2011 to April 2012,we established standardized management in our hospital service area for 380 cases of patients with essential hypertension of chronic diseases on the record.After a year of community intervention and management of hypertension indicators of the patients analyzed,we have the following Results High blood pressure patients with systolic blood pressure（SBP）and diastolic blood pressure（DBP）decreased significantly（P 0.05）,the overall level of blood pressure systolic blood pressure dropped by an average of 13 mm Hg and diastolic blood pressure an average decrease of 9 mm Hg blood pressure control rates increased from 32.1% to 68.4% ,criteria of hypertension awareness rate rose to 72.4% from 25% before the intervention,which was significantly higher than before the intervention（P 0.01）.their way of life（compliance behavior,physical exercise,salt intake,smoking cessation alcohol limit）Significantly improved.Conclusion Community standardized management can significantly control blood pressure in hypertensive patients,and improve the bad habits of patients,thus increase the rate of hypertension awareness and control.