社区高血压患者规范化管理的效果分析

Effect analysis of the standardized management on hypertensive patients in community

目的通过对社区高血压患者进行规范化管理,以探讨高血压三级预防,控制高血压"三率"的持续有效方案。方法将我院服务社区中246例患者纳入研究,按照随访次数分为规范化管理组(观察组)和非规范化管理组(对照组),采用自行设计的高血压知识调查问卷,对两组高血压患者血压控制率、服药依从率、知识知晓率和规范化管理率进行比较。结果 246例高血压患者中规范化管理患者201例,规范化管理率达81.7%;非规范化管理患者45例,非规范化管理率为18.3%;观察组血压控制率为91.54%,对照组控制率为13.33%,两组控制率比较差异有统计学意义(P<0.05);观察组服药依从率为95.02%,高于对照组的88.89%,其差异亦有统计学意义(P<0.05);观察组知识知晓率为93.03%,高于对照组的84.44%,两组比较差异有统计学意义(P<0.05)。结论对社区高血压患者进行规范化管理可以提高患者的服药依从率,提高血压控制率。

Objective To investigate the tertiary prevention of hypertension and the effective solution in controlling the ＂three rates＂ of hypertension through standardized management of hypertensive patients in community. Methods A total of 246 patients from our community hospital were enrolled in the study. Based on the follow-up times, these patients were divided into two groups：standardized management group （observation group） and non stan-dardized management group （control group）. A self-made hypertension knowledge questionnaire was employed to compare the difference between the two groups with hypertension control rate, medication compliance rate, knowledge awareness of hypertension rate and standardized management rate. Results Among 246 patients with hypertension, 201 patients had went through standardized management （81.7%） and 45 patients had went through non standardization management （18.3%）. The blood pressure control rate in observation group was 91.54%, which was statistically significantly higher than 13.33%, the rate in control group （P〈0.05）. The medication compliance rate in observation group （95.02%） was significantly higher than that in control group （88.89%）, P〈0.05. The knowledge aware-ness rate of observation group （93.03%） was also significantly higher than that in control group （84.44%）, P〈0.05. Conclusion Hypertensive patients in community with standardized management can improve their medication compliance rate and blood pressure control rate.