社区健康管理结合健康教育对老年高血压控制效果分析

Analysis on the effect of community health management combined with health education on hypertension control in the elderly

目的:探讨社区健康管理结合健康教育对老年高血压的控制效果。方法:对社区中确诊的老年高血压患者46例展开为期1年的社区健康管理,同时每月开展1次健康大课堂、个体化用药指导、生活方式干预,分析患者血压控制情况。结果:干预后患者收缩压、舒张压均明显低于干预前,患者疾病知识掌握率、遵医嘱用药率、遵医嘱运动率明显高于干预前(P<0.05)。结论:高血压社区发病率高、治疗依从性差、控制率低,为老年高血压患者实施社区健康管理结合健康教育,结合个体化定期监测可明显提高患者服药依从性和血压控制效果。

Objective:To explore the effect of community health management and health education on the control of hypertension in the elderly.Methods:Community health management was carried out in 46 elderly patients diagnosed with hypertension in the community for 1 year,and once of healthy classes,individualized medication guidance and lifestyle intervention were carried out every month.Results:After intervention,systolic blood pressure and diastolic blood pressure were significantly lower than those before intervention.The rate of disease knowledge,medication compliance and exercise compliance rate were significantly higher than those before the intervention(P<0.05).Conclusion:Hypertension has a high incidence of community,low treatment compliance and low control rate.It can significantly improve the medication compliance and blood pressure control effect of elderly hypertension patients with community health management combined with health education and individual regular monitoring.