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潘恩春, 胡伟, 向全永, 王增武, 王文. 淮安市社区高血压规范化管理效果评价[J]. 中国公共卫生, 2010, 26(3): 299-300. DOI: 10.11847/zgggws2010-26-03-22
引用本文: 潘恩春, 胡伟, 向全永, 王增武, 王文. 淮安市社区高血压规范化管理效果评价[J]. 中国公共卫生, 2010, 26(3): 299-300. DOI: 10.11847/zgggws2010-26-03-22
PAN En-chun, HU Wei, XIANG Quan-yong, . Effect assessment of standardization management for hyperten sion in community of Huai’an city[J]. Chinese Journal of Public Health, 2010, 26(3): 299-300. DOI: 10.11847/zgggws2010-26-03-22
Citation: PAN En-chun, HU Wei, XIANG Quan-yong, . Effect assessment of standardization management for hyperten sion in community of Huai’an city[J]. Chinese Journal of Public Health, 2010, 26(3): 299-300. DOI: 10.11847/zgggws2010-26-03-22

淮安市社区高血压规范化管理效果评价

Effect assessment of standardization management for hyperten sion in community of Huai’an city

  • 摘要: 目的 评价江苏省淮安市高血压患者社区规范化管理效果。方法 在社区为筛查出的17 559例高血压患者建立高血压专项管理档案,由经过规范化培训的基层社区医生对其进行临床评估,根据危险程度,实行分级分层随访、规范管理。结果 经过社区规范化管理后,高血压患者平均收缩压和舒张压分别降低16.56和8.97 mmHg(1mmHg=0.133 3 kPa);高血压患者知晓率、治疗率、血压控制率、服药控制率由一年前的83.53%,66.20%,3.93%和4.42%分别上升至100%,99.40%,38.73%和41.81%(P<0.01);2级和3级高血压由50.01%降低到10.94%;对2822例随访管理时间较长的患者血压水平进行重复测量的方差分析结果显示,随着管理次数的增加收缩压、舒张压均呈下降趋势(P<0.01)。结论 社区规范化管理能有效改变高血压患者的不良生活方式,提高服药依从性,良好控制血压、减少并发症,提高生命质量。社区综合防治是提高高血压人群防治效果的有效途径。

     

    Abstract: Objective To assess the effect of standardization management for hypertension in the communities of Huai'an city.Methods A total of 17 559 cases of hypertension were screened andm anaged according to the unifoun protocolby trained physician.Results After a standardization management, the average systolic blood pressure and diastolic blood pressure decreased by 16.56 mmHg and 8.97 mmHg, respectively.The awareness, treahnent, blood pressure control, and medication control rate of hypertension increased from 83.53%,66.2%,3.93%,and 4.42% to 100%,99%,38.73%,and 41.81% with statistical significant differences (P<0.01),respectively.The proportion of level 2 and level 3 of hypertension dropped from 50.01% to 10.94%.By repeated measure analysis in 2 822 cases, the average blood pressure showed a down trend with more frequentm anagement.Conclusion The study reslults indicate that the standardization management in community for hypertension cases is an effective way to modify unhealthy lifestyle, enhance medication compliance and control of blood pressure, and reduce complications among community hypertensive population.

     

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