区域医疗联合体模式指导下的高血压社区健康管理效果观察

Health Management Effect of Community Hypertension Patients Under the Guidance of Regional Medical Association

目的探究区域医疗联合体模式应用在高血压患者社区健康管理的效果和价值。方法从甲乙社区卫生服务机构的慢性病管理信息系统中分别随机抽取原发性高血压病患者100例作为干预组和对照组。对照组患者实施常规诊疗,干预组在此基础上运用区域医疗联合体相关措施进行管理,持续实施2年。对比两组患者干预前后的行为改变(包括控制摄盐量、吸烟、饮酒、遵医用药、定期检查)和血压控制达标情况。结果干预组患者各行为的遵医嘱率显著高于对照组;干预组患者的收缩压和舒张压明显低于对照组,且达标率显著高于对照组,以上差异有统计学意义(P<0.05)。结论区域医疗联合体模式有利于加强社区高血压管理的有效性,切实提高其患者自我管理行为,有效控制患者的血压。

Objective To explore the effect and value of the application of Regional Medical Association Model in community health management of hypertension patients, Methods 100 cases of patients with essential hypertension were randomly sdected as the subjects from two different chronic disease management information system of community health service institutions individually, and divided into intervention group and control group. Patients in the control group were treated with conventional treatment, on the basis of this, the inter- vention group was managed by the relevant measures of regional medical association for two years. The behavior change and blood pressure control were compared between the two groups before and after the intervention. The rate of follow the doctor＇ s advice in the observation group was higher than that of the control group. Results The systolic blood pressure and diastolic blood pressure in the intervention group were significantly lower than those in the control group, and the compliance rate was significantly higher. The difference above was statistical- ly significant（P 〈 0.05）. Conclusion The regional medical association model is beneficial to strengthen the management of hypertension in community, which can improve the self- management behavior of patients and control the blood pressure of patients effectively.