新市区城乡结合部高血压病人血压控制的相关分析及对策研究

Analysis on the blood pressure controlling situation of hypertensive patients from city community and urban fringe areas

目的：本研究通过对城市社区高血压病人和城乡结合部的高血压病人的血压控制情况的分析，并对城乡结合部的高血压病人有效的利用互联网＋信息平台，进行干预治疗，提高新市区城乡结合部高血压病人血压控制率，有利于有效的节约有限的合作医疗的资源和经费，可以有效的提高我们的工作效率，节省时间。方法选择2011年1月～2013年12月期间南北两院慢性病档案中的高血压病人共445人，其中，南院193人，北院252人，对高血压病的认知度，其生活方式，服药状态，进行了解，并进行高血压的健康宣教和生活方式的干预，对照城乡结合部的高血压病人干预前（A）、干预后（B）和城市社区高血压病人干预前（C）、干预后（D）四组高血压病人的，服药的依从性，血压值，体重，腹围，体重指数，住院费用的变化情况。进行调查并进行统计学分析。结果 A、B、C、D四组中，A、B两组城乡结合部的高血压病人前后对照变化有统计学意义（P＜0.01；P＜0.05）。结论城乡结合部的高血压病人进过干预后，服药的依从性，血压值，体重，腹围体重指数，住院费用改善显著，而主城区的高血压病人干预前后变化较小，具有统计学意义。

Objective This study analyzed blood pressure controlling situation of hypertensive patients from city community and urban fringe areas, internet plus information platform was used effectively to proceed intervention for patients from urban fringe and city community. The study was aimed to enhance the rate of blood pressure control of urban fringe patients, save limited resources and finally improve our work. Methods 445 hypertension patients from Chronic disease files at north and south hospital from January 2011 to December 2013. Among them, there were 193 patients from South Hospital, and 252 cases were from North. Their knowledge about hypertension, their living conditions, taking medicine or not were investigated. Health education about hypertension were proceeded and their bad living ways were corrected. And then patients compliance,blood pressure, body weight, abdominal girth, BMI, changes of hospitalization expenses between four different groups were compared before intervention and after intervention between urban fringe （A：before intervention;B：after intervention） and city community （C：before intervention;D：after intervention）. Data were analyzed statistically. Results Among A,B,C,D four groups, it was statistically significant different between Group A and B before and after intervention from urban fringe（P〈0.01;P〈0.05）. Conclusion IIt is improved significantly in medicine-compliance,blood pressure, weight, abdominal girth, BMI, changes of hospitalization expenses of the patients from urban fringe after intervention. But there weren＇t much changes about those values in hypertensive patients from city community before and after the intervention.