社区高血压患者管理中应用慢性病保健模型的效果分析

The effect analysis of the application of chronic care model in hypertension management in community

目的:探讨在社区高血压患者管理中应用慢性病保健模型对患者血压及依从性的影响。方法:选取我社区2013年2月至2014年2月诊治的原发性高血压患者110例,随机分为研究组和对照组,分别采用慢性病保健模型和常规干预,比较干预12个月后患者血压水平及依从性。结果:干预前两组患者收缩压和舒张压比较差异无统计学意义(P>0.05);干预后研究组收缩压和舒张压均低于对照组[(129.5±13.2)mmHg比(140.8±14.4)mmHg,(76.8±11.1)mmHg比(89.7±12.2)mmHg],两组比较P<0.05。研究组用药、饮食及运动依从性均高于对照组(100.00%比83.64%,90.91%比63.63%,85.45%比58.18%),两组比较P<0.05。结论:在社区高血压管理中应用慢性病保健模型可提高患者血压控制效果,提高患者的依从性。

Objective：To explore the affect of the application of chronic care model on blood pressure and compliance of patients in hypertension management in community.Methods：110patients with essential hypertension were randomly divided into study group and control group in February 2013 to February 2014 from our community,respectively using chronic care model and the conventional interventions,compared the blood pressure levels and patient compliance after 12 months.Results：Before the intervention,systolic and diastolic blood pressure of the two groups of patients were no statistically significant differences（P〉0.05）.After the intervention,systolic and diastolic blood pressures of the study group were lower than that of the control group：（129.5±13.2）mmHg vs（140.8±14.4）mmHg and（76.8±11.1）mmHg vs（89.7±12.2）mmHg（P〈0.05）.Taking medicine,diet and exercise compliance of the study groups were higher than that of the control group：100.00% vs 83.64%,90.91% vs 63.63%and 85.45% vs 58.18%（P〈0.05）.Conclusion：The application of chronic care model in hypertension management in community can improve the effect of blood pressure control and patient compliance.