社区细化管理模式对高血压患者血压变化及卒中情况的影响

Effects of Detailed Management Mode of Community on Changes in Blood Pressure and Stroke in Patients with Hypertension

目的:探讨社区细化管理模式对高血压患者血压变化及卒中情况的影响,为临床管理提供依据。方法:以2014年9月-2016年8月本社区收治的82例高血压患者作为研究对象,按照随机数字表法分为对照组(n=41)与观察组(n=41)。对照组实施常规自行管理模式,观察组实施社区细化管理模式。比较两组管理前后血压水平、高血压知识知晓及行为评分、脑卒中发生率及管理满意度。结果:管理前,两组收缩压(SBP)、舒张压(DBP)水平比较,差异均无统计学意义(P>0.05);管理后,观察组SBP、DBP水平均低于对照组,差异均有统计学意义(P<0.05);观察组脑卒中发生率为9.75%(4/41),显著低于对照组的29.27%(12/41),差异有统计学意义(P<0.05);观察组知识知晓评分为(82.25±7.06)分,科学饮食评分为(83.79±8.58)分,科学生活方式评分为(90.06±7.22)分,科学运动评分为(86.23±7.56)分,均高于对照组,差异均有统计学意义(P<0.05);观察组管理总满意度为95.12%,高于对照组的70.73%,差异有统计学意义(P<0.05)。结论:对高血压患者实施社区细化管理模式能够有效改善血压水平,降低脑卒中发生率,提高患者的知识知晓度,并能纠正其行为习惯,具有极高的临床应用价值。

Objective:To explore the effects of detailed management mode of community on changes in blood pressure and stroke in patients with hypertension,so as to provide basis for clinical management.Method:A total of 82 patients with hypertension admitted to our community from September 2014 to August 2016 were selected as the study objects.They were divided into the control group(n=41)and the observation group(n=41)according to the number table method.The control group implemented the routine self-management mode,and the observation group implemented the detailed management mode of community.The levels of blood pressure,scores of knowledge and behavior of hypertension,incidence of stroke and management satisfaction of the two groups were compared.Result:Before the management,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)levels of the two groups were compared,and the differences were not statistically significant(P>0.05).After the management,SBP and DBP levels in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of stroke in the observation group was 9.75%(4/41),which was significantly lower than 29.27%(12/41)of the control group,and the difference was statistically significant(P<0.05).The knowledge awareness score of the observation group was(82.25±7.06)points,the scientific diet score was(83.79±8.58)points,the scientific lifestyle score was(90.06±7.22)points,and the scientific exercise score was(86.23±7.56)points,which were all higher than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction of management in the observation group was 95.12%,which was higher than 70.73%of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of detailed management mode of community for hypertension patients can effectively improved the level of blood pressure,reduced the incidence of stroke,improved the knowledge of patients,and corrected their behavior habits,which has a very high clinical application value.