600例高血压患者社区管理效果评价

Evaluation of 600 cases of hypertension patients in community management effect

目的评价我县城西社区高血压患者干预管理模式的效果.方法：随机将600 例高血压患者分为干预组和对照组各300 名.干预组接受高血压群组干预管理模式,对照组给予常规的高血压患者的三级管理和药物的干预.观察时间为12 个月,然后比较两组患者在依从性、生活方式和高血压控制方面的变化.结果：干预组在12 个月后在依从性方面改变明显提高,并明显高于对照组（P〈0.05）.12 个月后干预组患者平均比对照组收缩压多降低12.9 mm Hg,舒张压多降低7.8 mm Hg（P〈0.05）.结论：社区高血压群组干预管理模式较传统的高血压三级管理模式在改善依从性、生活方式和高血压控制等方面效果更好.

ObjectiveEvaluation of the effect of the county west of the community management model of intervention in patients with hypertension.Method：The 600 cases ofhypertensive patients were randomly divided into intervention group and control group 300. Hypertension intervention group received the intervention group management, controlgroup received conventional intervention level management of patients with hypertension and drugs. Observation time was 12 months, and then compare the two groups of patients withchanges in compliance, lifestyle and hypertension control.Result：In 12 months the intervention group improved significantly after the change in terms of compliance, and significantlyhigher （P 〈0.05）. 12 months after the intervention group than the control group patients on average much lower systolic blood pressure 12.9 mm Hg, diastolic blood pressure muchlower 7.8 mm Hg （P 〈0.05）.Conclusion：Community management of hypertension group intervention than traditional stage three hypertension management mode in improvingcompliance, lifestyle and hypertension control etc. the effect is better.