社区高血压患者分层分组管理效果评价

Effect Evaluation on the Layering and Grouping Management of Hypertension Patients in Community

目的探讨社区高血压患者分层分组管理的效果,以完善社区高血压管理方式,提高社区高血压管理的有效性。方法采用随机抽样的方法,选择189名高血压患者作为研究对象,进行基线调查,然后开展为期1年的分组管理,并对完成评估的178名患者的管理效果进行评价。结果管理1年后,低危层患者明显增加,中、高危层患者明显减少(P<0.01);中等水平运动者显著增多,低水平运动者显著减少(P<0.01);全家每月的盐食用量明显降低(P<0.01);管理对象的血压控制率从管理前的41.6%升高到管理后的65.2%;管理对象的甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)三项血脂的达标率也明显升高(P<0.01)。结论社区高血压分层分组管理是有效的,应继续加强和完善社区高血压的分层分组管理。

Objective To explore the effect of layering and grouping management for hypertension patients. Methods The baseline survey was been carried out among 189 hypertension patients who were randomly selected as subjects. After received hypertension layering and grouping management for one year, the assessment was been conducted to analyze the management effects of 178 patients who completed 1-year management. Results After 1-year management, more patients became low cardiovascular risk patients and high cardiovascular risk patients were less(P<0.01). More patients had moderate level movement and patients with low level movement became less(P<0.01). The average monthly intake of family salt significantly decreased(P<0.01). The control rate of blood pressure rose from 41.6% to 65.2%. The goal-achievement rate of triglyceride(TG), low-density lipoprotein(LDL) and high density lipoprotein(HDL) increased significantly(P<0.01). Conclusion The hypertension grouping management is efficient though further improvement is needed.