社区卫生服务机构中高血压防治情况的调查与管理策略

On the Community Health Service Institutions in the Prevention and Treatment of Hypertension Situation and Strategies

目的研究分析社区卫生服务机构中的高血压防治现状以及应对策略。方法 2013年8月—2015年4月采取随机的方式在本区抽取3个社区卫生服务机构,以问卷调查的方式,调查社区卫生服务机构高血压管理册中高血压患者家庭,统计分析调查结果。结果大约有57.7%的高血压患者即采取非药物治疗,又采取药物治疗;有3.5%的患者未采取任何措施进行治疗。非药物控制方式有低盐饮食和体育锻炼,所占比重分别为52.9%、38.8%,有56.2%的患者可做到至少每周进行一次血压测量,从没有做过血压监测与血糖监测的患者所占比重各为4.7%、8.8%。结论社区卫生服务机构在高血压患者控制上协同药物治疗与非药物治疗进行控制所占比重不是很高,在今后高血压防治中还需加强这方面的工作,同时还应积极引导以及宣传低盐饮食、体育锻炼,强化规范化管理。

Objective Present Situation hypertension prevention community health service institutions and coping strategies. Methods A random manner to extract three community health service institutions in this area, with questionnaires, surveys house-holds hypertensive patients with community health services management book hypertension, statistical analysis of the survey re-sults. Results Approximately 57.7% of patients with hypertension that is to take non-drug therapy, and take medication; 3.5% of the patients did not take any action for treatment. Non-drug control have low-salt diet and exercise, the proportion was 52.9%, 38.8%, 56.2% of patients can be done at least once a week blood pressure measurement, blood pressure monitoring and blood glucose monitoring is not done Each share of 4.7%, 8.8%. Conclusion Collaborative community health services in the control pa-tients with essential hypertension medications and non-drug therapy to control the proportion is not very high, the prevention and treatment of hypertension in the future need to strengthen work in this area, should also actively guide and promote its low salt di-et, physical exercise, strengthening standardized management.