中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
12期
241-244
,共4页
高血压病%医院-社区综合管理模式%干预%自行设计
高血壓病%醫院-社區綜閤管理模式%榦預%自行設計
고혈압병%의원-사구종합관리모식%간예%자행설계
Hypertension%Hospital-community integrated management system%Intervention%Self-designed
目的：通过建立医院-社区综合管理模式，提高患者在生活方式、血压监测、药物选择、服药依从性等方面的认知，并对其血压进行干预，提高血压控制效果及血压达标率，改善患者的生存质量；并将医院-社区双向管理模式向其他医院、社区推广。方法通过自行设计的血压监测的认知与依从性量表，首先了解东莞市石排镇1745名高血压患者的基本情况，随机抽取500名患者作为干预组，指导调整生活方式、血压监测、合理选药、加强服用药物的依从性；剩余高血压患者作为对照组，不做任何干预；定期每半月对两组血压情况、服药情况进行详细记录。随访1年，重新对血压进行评价，并对血压控制效果进行比较。结果经过医院-社区综合管理模式的干预，干预组患者在生活方式的调整、血压监测、药物选择、服药依从性等方面的认知明显提高，血压控制效果及血压达标率较前明显增高。结论通过医院-社区综合管理模式，能够提高患者在生活方式、血压监测、选择药物、服药依从性等方面的认知，明显提高患者血压控制效果及血压达标率，有效改善患者的生存质量；医院-社区综合管理模式在高血压病防治中值得向基层医院、社区推广应用。
目的：通過建立醫院-社區綜閤管理模式，提高患者在生活方式、血壓鑑測、藥物選擇、服藥依從性等方麵的認知，併對其血壓進行榦預，提高血壓控製效果及血壓達標率，改善患者的生存質量；併將醫院-社區雙嚮管理模式嚮其他醫院、社區推廣。方法通過自行設計的血壓鑑測的認知與依從性量錶，首先瞭解東莞市石排鎮1745名高血壓患者的基本情況，隨機抽取500名患者作為榦預組，指導調整生活方式、血壓鑑測、閤理選藥、加彊服用藥物的依從性；剩餘高血壓患者作為對照組，不做任何榦預；定期每半月對兩組血壓情況、服藥情況進行詳細記錄。隨訪1年，重新對血壓進行評價，併對血壓控製效果進行比較。結果經過醫院-社區綜閤管理模式的榦預，榦預組患者在生活方式的調整、血壓鑑測、藥物選擇、服藥依從性等方麵的認知明顯提高，血壓控製效果及血壓達標率較前明顯增高。結論通過醫院-社區綜閤管理模式，能夠提高患者在生活方式、血壓鑑測、選擇藥物、服藥依從性等方麵的認知，明顯提高患者血壓控製效果及血壓達標率，有效改善患者的生存質量；醫院-社區綜閤管理模式在高血壓病防治中值得嚮基層醫院、社區推廣應用。
목적：통과건립의원-사구종합관리모식，제고환자재생활방식、혈압감측、약물선택、복약의종성등방면적인지，병대기혈압진행간예，제고혈압공제효과급혈압체표솔，개선환자적생존질량；병장의원-사구쌍향관리모식향기타의원、사구추엄。방법통과자행설계적혈압감측적인지여의종성량표，수선료해동완시석배진1745명고혈압환자적기본정황，수궤추취500명환자작위간예조，지도조정생활방식、혈압감측、합리선약、가강복용약물적의종성；잉여고혈압환자작위대조조，불주임하간예；정기매반월대량조혈압정황、복약정황진행상세기록。수방1년，중신대혈압진행평개，병대혈압공제효과진행비교。결과경과의원-사구종합관리모식적간예，간예조환자재생활방식적조정、혈압감측、약물선택、복약의종성등방면적인지명현제고，혈압공제효과급혈압체표솔교전명현증고。결론통과의원-사구종합관리모식，능구제고환자재생활방식、혈압감측、선택약물、복약의종성등방면적인지，명현제고환자혈압공제효과급혈압체표솔，유효개선환자적생존질량；의원-사구종합관리모식재고혈압병방치중치득향기층의원、사구추엄응용。
Objective To improve patients' understanding of life style, monitoring of blood pressure, drug choice and drug compliance by establishing hospital-community integrated management system, and to carry out an intervention on patients' blood pressure so as to improve the effect of blood pressure control and standard rate of blood pressure, and thus improve patients' life quality; to promote the hospital-community bidirectional management system to other hospitals and communities. Methods Basic conditions of 1745 patients with hypertension from Shipai Town of Dongguan City were primarily collected via self-designed questionnaires regarding the understanding and compliance of blood pressure monitoring. 500 patients were randomly allocated to an intervention group. Their life style, blood pressure monitoring and proper drug use were guided and their compliance of taking medicine was strengthened; the rest of patients were allocated to a control group without any intervention; conditions of blood pressure and drug use in the two groups were recorded in detail every half a month. The follow-up lasted for one year. Patients’blood pressure was re-evaluated and the effect of blood pressure control was compared. Results Thanks to the intervention of the hospital-community integrated management system, patients in the intervention group showed an improved understanding in terms of adjustment of life style, blood pressure monitoring, drug use and compliance of taking medicine. The effect of blood pressure control and target rate of blood pressure significantly improved compared to the previous. Conclusion The hospital-community integrated management system helps improve patients' understanding of life style, blood pressure monitoring, drug use, and compliance of taking medicine, significantly improve the effect of blood control and target rate of blood pressure, and effectively enhance patients' life quality; the hospital-community integrated management system, in terms of prevention and control of hypertension, is worthy of promotion and application in primary hospitals and communities.
