Evaluation on outcomes of different community follow-up management modes among community hypertension patients

Objective To evaluate the effectiveness of different community follow-up management modes in community patients with hypertension in Yuhang district of Hangzhou city,and to provide a theoretical basis for developing new management model.Methods A total of 2 187 hypertension patients were selected from 20 villages/communities in Yuhang district of Hangzhou city with stratfied random sampling and investigated with a face-to-face questionnaire survey in 2012.SPSS 19.0 was used in data analyses.Results The average age of the male patients(1 088,49.75%) was 65.23±10.19 years and that of the female patients(1 099,50.25%) was 64.90±9.99,without significant gender difference.The overall rates were 73.07%,54.78%,and 43.80% for awareness of hypertension knowledge,adherence to medication,and behaviral change for hypertension control among the patients.The awarenss rate of hypertension know-ledge in the patients with group follow-up(82.93%) was significantly higher than in the patients with individual follow-up(χ²= 253.621,P<0.001),whereas,the behaviral change rate of the patients with individual follow-up was significantly higher than that of patients with group follow-up(45.98% vs.36.80%;χ²=9.370,P<0.05).There was no significant difference in medication adherence among the patients under different modes of follow-up(χ²=1.08,P>0.05).The highest hypertension knowledge awareness rate(99.67%) was reported in the patients with the doctor' s home visit plus regular group follow-up,the highest medication adherence rate(88.24%) in the patients with the doctor's home visit plus visiting a doctor in the clinic,and the highest behaviral change rate(67.15%) in the patients with individual follow-up through telephone call.Conclusion The results of the study suggest that group follow-up is beneficial to increase awareness rate of hypertension knowledge and individual follow-up is beneficial to promote behaviral change among community hypertension patients.