基于慢病管理路径的社区管理对高血压患者脑卒中发生率、自我管理行为的影响

Effect of Community Management Based on Chronic Disease Management Pathway on Stroke Incidence and Self-Management Behavior of Hypertensive Patients

目的对社区慢性病管理在高血压患者管理中对其脑卒中发生率及自我管理行为的影响进行分析。方法选取2020年1月—2021年12月本社区中心收集的60例高血压患者为研究对象,将其随机分为对照组(n=30)和观察组(n=30),分别采取常规的社区管理和在慢性病管理路径下加强社区管理方法,对比两组脑卒中的发生率和自我管理行为能力评分情况。结果观察组脑卒中发生率低于对照组(P<0.05);观察组各项自我管理行为能力评分均高于对照组(P<0.05)。结论对高血压患者基于慢性管理路径下行社区管理,能够显著降低脑卒中发生率,改善其自我管理行为和遵医行为,值得参考。

Objective To analyze effect of community chronic disease management on incidence of stroke and self-management behavior of hypertensive patients.Methods The paper chose 60 hypertensive study subjects from January 2020 to December 2021,and divided them into control group of 30 cases and observation group of 30 cases randomly,treated with routine community management and strengthened community management under chronic disease management pathway respectively.Incidence and self-management behavior ability scores of stroke were compared between two groups.Results Incidence of stroke in observation group was lower than control group(P<0.05).Self-management behavior ability scores of observation group were higher than control group(P<0.05).Conclusion Community management based on chronic management pathways can significantly reduce incidence of stroke and improve self-management and compliance behaviors of hypertensive patients,which is worthy of reference.