以医院为中心的社区管理模式对高血压患者生活质量及高血压相关知识知晓率的影响

Influences of hospital-centered community management model on the quality of life and awareness rate of hypertension-related knowledge of hypertension patients

目的评价以医院为中心的社区管理模式对高血压患者生活质量及高血压相关知识知晓率的影响。方法选择2016年11月至2017年5月陕西省西安市张家村友谊社区常住服务中心所辖西荷社区高血压患者338例为研究对象,采用随机数字表法分为干预组和对照组,各169例。比较两组患者干预前、后的生活质量评分、高血压相关知识知晓率及干预后的血压控制情况。结果干预后,干预组的各项生活质量评分、高血压诊断标准、高血压危害、影响高血压的因素、高血压防治相关知识知晓率均高于对照组与干预前(P<0.05);干预组的血压控制率显著高于对照组,收缩压、舒张压均低于对照组(P<0.05)。结论以医院为中心的社区管理模式可有效提高患者的生活质量与疾病相关知识的知晓率,实现血压的自我管理,为规范社区高血压管理模式提供理论依据。

Objective To evaluate the influences of hospital-centered community management model on the quality of life and awareness rate of hypertension-related knowledge of hypertension patients. Methods A total of 338 residential patients with hypertension in Xihe community under the jurisdiction of Zhangjiacun Friendship Community Service Center from November 2016 to May 2017 were selected as the study objects and divided into intervention group and control group by random number table method, with 169 cases in each group. The quality of life scores, awareness rates of hypertensionrelated knowledge before and after intervention and blood pressure control were compared between the two groups. Results After intervention, the scores of quality of life and the awareness rates of knowledge of the hypertension diagnostic criteria, the harm of hypertension, the factors influencing hypertension and hypertension prevention and treatment in the intervention group were higher than those in the control group and before intervention (P<0.05). The blood pressure control rate in the intervention group was higher than that in the control group, the systolic and diastolic pressures were lower than those in the control group (P<0.05). Conclusion Hospital-centered community management model can effectively improve quality of life and the awareness rate of disease-related knowledge of patients, realize self-management of blood pressure, and provide theoretical basis for standardizing community hypertension management model.