佛山市南海区高血压患者NAH社区规范化管理干预效果研究

Analysis on the Intervention Effect of the NAH Community Standardized Management for Hypertension Patients of Nanhai District in Foshan City

目的:探讨NAH社区规范化管理对高血压患者的干预效果,为高血压的防控提供建议。方法:选取2013年1月-2014年12月在佛山市南海区二甲级以上医院确诊为原发性高血压的患者700例作为研究对象,根据接受不同的处理将其分为联合组、规范组、普通组及对照组,每组175例,经过1年的健康管理后,评价四组干预效果。结果:其中609例完成了干预试验,完成率87.0%;四组患者性别、年龄构成、婚姻状况、文化程度、职业分布及平均月收入比较差异均无统计学意义(P>0.05);经过1年的健康管理后,四组高血压治疗率、服药率及控制率比较差异均有统计学意义(P<0.05)。结论:NAH社区规范化管理对于提高高血压患者的治疗率、控制率及服药率有明显的效果。

Objective：To explore the intervention effect of the NAH community standardized management for hypertension patients and to provide suggestions for the prevention and control of hypertension.Method：From January 2013 to December 2014,700 cases of primary hypertension that diagnosed by more than secend-grade class-A hospital of Nanhai district of Foshan city were selected as the research objects,they were randomly divided into the combined group,specification group,common group and control group,each group had 175 cases.After one year of health management,the effect of the four groups were evaluated.Result：609 cases completed the intervention experiment among them,completion rate was 87.0%.There were no significant differences in gender,age,marital status,educational level,occupation distribution and average monthly income among four groups（P0.05）.After one year of health management,there were significant differences among four groups in the rate of hypertension treatment,medication rate and control rate（P0.05）.Conclusion：NAH community standardized management has obvious effect on improving the treatment rate,control rate and medication rate of hypertension patients.