基于老年综合评估的干预措施对沿海社区老年高血压患者血压的影响

Impact of a Comprehensive Geriatric Assessment-Based Intervention on Blood Pressure in Elderly Hypertensive Patients in a Coastal Community

目的:高血压作为全身性疾病严重影响着老年人的生活质量,合理控制血压显得尤为重要,本研究探讨应用老年综合评估技术(CGA)对沿海社区老年高血压患者血压管理的影响。方法:收集2021年7月至11月之间青岛市某社区医院就诊的老年高血压患者187例,将其随机分成试验组与对照组,试验组给予降压药物联合CGA干预治疗,对照组仅进行降压药物调整,3个月后比较两组血压变化情况。结果:试验前两组家庭自测收缩压(SBP)、舒张压(DBP)比较,均不存在统计学差异;试验后CGA试验组的家庭自测SBP、DBP均低于对照组,存在统计学差异(P = 0.002;P = 0.001)。结论:CGA在社区老年高血压患者中的应用能更好地控制血压,整体提高老年人对自身疾病的治疗效果,提高医患间的满意度。

Objective: To explore the function of comprehensive geriatric assessment (CGA) on blood pressure management in elderly hypertensive patients in coastal communities. Methods: A total of 187 elderly hypertensive patients from July 2021 to November 2022 were collected. The trial group was divided into CGA trial group and non-CGA control group, the experimental group was given general antihypertensive combined with CGA intervention, the control group was only treated with general antihypertensive therapy, and the blood pressure changes of the two groups were compared after 3 months. Results: Comparison of family self-test systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the two groups before the trial did not show any statistical difference;after the trial, the family self-test SBP and DBP in the CGA group were lower than those in the control group, and there were statistical differences (P = 0.002;P = 0.001). Conclusion: The application of CGA in hypertensive patients in the community can better control blood pressure, improve the overall treatment effect of the elderly on their own diseases, and improve the satisfaction between doctors and patients.