高血压患者社区健康管理的作用分析

Analysis of the effect of community health management for hypertension patients

目的:探讨社区健康教育对高血压患者的影响。方法:收治高血压患者516例,将没有参加健康教育的77例分为对照组,参加健康教育的439例分为干预1组(未服用降血压药物142例)和干预2组(服用降血压药物297例)。经过10个月治疗后,比较3组患者的血压控制效果。结果:3组患者高血压差异有显著性,在干预1组,干预前收缩压(153.1±10.6)mm Hg,干预后降至(143.2±11.2)mm Hg,舒张压(91.7±8.8)mm Hg,干预后降至(86.3±6.2)mm Hg(P<0.05)。在干预2组,干预前收缩压(153.8±11.1)mm Hg,干预后降至(134.7±7.4)mm Hg,舒张压(93.1±8.2)mm Hg,干预后降至(82.8±6.7)mm Hg(P<0.05)。结论:社区慢性病健康管理可以提高患者的依从性,有效控制患者的血压。

Objective:To explore the effect of community health education on patients with hypertension.Methods:516 patients with hypertension were selected.77 cases without health education were as the control group.439 cases with health education were as the first intervention group(142 cases without blood pressure lowering drugs) and the second intervention group(297 cases with blood pressure lowering drugs).After 10 months of treatment,we compared the effect of blood pressure control of the three groups.Results:There was significant difference in hypertension between 3 groups of patients.In the first intervention group,before the intervention,the systolic blood pressure was(153.1 ± 10.6)mm Hg,after intervention,it fell to(143.2 ± 11.2)mm Hg;diastolic pressure was(91.7±8.8)mm Hg,after intervention,it fell to(86.3±6.2)mm Hg(P<0.05).In the second intervention group,before the intervention,the systolic pressure was(153.8±11.1)mm Hg,after intervention,it fell to(134.7±7.4)mm Hg;diastolic pressure was(93.1±8.2)mm Hg,after intervention,it fell to(82.8±6.7)mm Hg(P<0.05).Conclusion:Health management of chronic diseases in community can improve the compliance of patients,and it also can effectively control the patient's blood pressure.