老年高血压患者实施社区治疗的效果观察

Observation of effect by community medical treatment for senile hypertension patients

目的社区治疗对老年高血压患者的效果分析。方法 138例老年高血压患者,随机分成对照组和观察组,各69例。对照组患者给予常规药物治疗,观察组患者在对照组的基础上给予社区治疗管理。比较两组患者的血压水平、生活自理能力、治疗依从性等。结果治疗6个月,两组患者的血压水平较治疗前明显降低,且观察组患者的降低幅度明显大于对照组,差异具有统计学意义(P<0.05)。治疗6个月,观察组患者日常生活能力量表(ADL)评分为(78.2±13.5)分,明显高于对照组的(71.5±14.3)分,差异具有统计学意义(P<0.05)。观察组患者的用药依从性、饮食依从性和锻炼依从性均高于对照组,差异具有统计学意义(P<0.05)。结论社区治疗管理用于老年高血压患者中有助于提高患者的生活质量,帮助患者养成健康的生活方式,从而促进血压的控制,提高治疗效果,值得推广。

Objective To analyze effect by community medical treatment for senile hypertensionpatients.Methods A total of138senile hypertension patients were randomly divided into control group andobservation group,with69cases in each group.The control group received conventional drug therapy,and theobservation group received additional community medical treatment management to therapy in the control group.Comparison was made on blood pressure level,self-care ability of daily living and treatment compliance betweenthe two groups.Results After6months of treatment,both groups had obviously lower blood pressure levels thanthose before treatment.The observation group had much higher reduction scale than the control group,and theirdifference had statistical significance(P<0.05).After6months of treatment,the observation group had obviouslyhigher activities of daily living(ADL)score as(78.2±13.5)points than(71.5±14.3)points in the control group,and the difference had statistical significance(P<0.05).The observation group had all higher drug compliance,diet compliance and exercise compliance than the control group,and their difference had statistical significance(P<0.05).Conclusion Implement of community medical treatment management for senile hypertension patientsis helpful to build healthy lifestyle in patients for enhancing blood pressure control and improving curative effect.This method is worth promoting.