西安市高血压患者健康管理实施进展及城乡效果对比分析

Evaluation of Hypertension Management Progress and Comparative Analysis Between Urban and Rural Areas in Xi'an

目的了解国家基本公共卫生服务项目实施以来,西安市高血压管理进展情况以及城乡差别。方法分析2010-2014年西安市基层医疗卫生机构高血压患者健康管理率、规范管理率和血压控制率等指标变化情况,并采用随机抽样的方法分别调查了7家社区服务中心和乡镇卫生院的700名管理满一年的高血压患者的随访情况,比较城乡高血压患者的管理差异。结果 2014年西安市基层医疗机构高血压健康管理率、规范管理率和血压控制率分别为39.35%、83.15%%和62.60%,高于2010年的对应值(健康管理率、规范管理率和血压控制率分别为15.62%.69.46%和42.34%),差异有统计学意义(P<0.01)。调查显示城市高血压患者血压控制率(67.14%)高于农村患者(55.65%),差异有统计学意义(P<0.05)。结论西安市实施国家基本公共卫生服务项目高血压规范管理有效提高高血压健康管理率、规范管理率和血压控制率,城区血压控制水平高干农村。

Objective To understand the hypertension management progress and the differences between urban and rural areas under the national basic public health services. Methods The health management rate, stand- ardized management rate and the blood pressure control rate of hypertension was analyzed in Xi＇ an from 2010 to 2014. A total of 700 hypertension from 7 community centers （urban group） and health clinics in towns （ru- ral group） were chosen by simple random sampling, and the management differences between urban and rural was analyzed after at least one year follow - up. Results In 2014, the health management rate, standardized management rate and blood pressure control rate of hypertension were respectively 39.35% , 83.15% and 62.60% , all statistically higher than that in 2010 （respectively 15.62% , 69.46% and 42.34% ）. The blood pressure control rate in urban hypertension was much higher than that of rural patients （P 〈 0. 05 ）. Conclu- sion The implementation of basic public health services hypertension management can improve health management rate, standardized management rate and blood pressure control rate of hypertension, while the effect of blood pressure control in rural areas was worse than in city.