中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
5期
490-492
,共3页
赵宇%杨莉莉%吕英慧%康晓新%李春凤
趙宇%楊莉莉%呂英慧%康曉新%李春鳳
조우%양리리%려영혜%강효신%리춘봉
高血压%社区卫生服务
高血壓%社區衛生服務
고혈압%사구위생복무
Hypertension%Community health services
目的 评价老年高血压病患者在社区治疗和管理模式的可行性. 方法 对286例老年高血压病患者进行社区治疗和管理6个月,观察患者社区治疗和管理前后生活方式改善情况及高血压病控制情况. 结果 老年高血压病患者整体血压水平治疗和管理前后收缩压水平分别为(158.4±11.3)mm Hg(1 mm Hg=0.133 kPa)和(131.3±5.9)mm Hg,舒张压水平分别为(99.6±8.9)mm Hg和(81.5±5.6)mm Hg,治疗和管理前后血压变化差异有统计学意义(均P＜0.05)；血压控制率由38.5％(110/286)上升至96.9％(277/286),差异有统计学意义(x2=98.87,P＜0.01)；诊断标准知晓率由66.4％(190/286)上升至100.0％(286/286),x2=115.36,P＜0.01；药物依从性由49.0％ (140/286)上升至91.3％(261/286),高于治疗和管理前(x2=122.13,P＜0.01). 结论 老年高血压病患者在社区治疗和管理,能提高患者血压控制率,改善生活质量,是一种切实可行的综合防治手段.
目的 評價老年高血壓病患者在社區治療和管理模式的可行性. 方法 對286例老年高血壓病患者進行社區治療和管理6箇月,觀察患者社區治療和管理前後生活方式改善情況及高血壓病控製情況. 結果 老年高血壓病患者整體血壓水平治療和管理前後收縮壓水平分彆為(158.4±11.3)mm Hg(1 mm Hg=0.133 kPa)和(131.3±5.9)mm Hg,舒張壓水平分彆為(99.6±8.9)mm Hg和(81.5±5.6)mm Hg,治療和管理前後血壓變化差異有統計學意義(均P＜0.05)；血壓控製率由38.5％(110/286)上升至96.9％(277/286),差異有統計學意義(x2=98.87,P＜0.01)；診斷標準知曉率由66.4％(190/286)上升至100.0％(286/286),x2=115.36,P＜0.01；藥物依從性由49.0％ (140/286)上升至91.3％(261/286),高于治療和管理前(x2=122.13,P＜0.01). 結論 老年高血壓病患者在社區治療和管理,能提高患者血壓控製率,改善生活質量,是一種切實可行的綜閤防治手段.
목적 평개노년고혈압병환자재사구치료화관리모식적가행성. 방법 대286례노년고혈압병환자진행사구치료화관리6개월,관찰환자사구치료화관리전후생활방식개선정황급고혈압병공제정황. 결과 노년고혈압병환자정체혈압수평치료화관리전후수축압수평분별위(158.4±11.3)mm Hg(1 mm Hg=0.133 kPa)화(131.3±5.9)mm Hg,서장압수평분별위(99.6±8.9)mm Hg화(81.5±5.6)mm Hg,치료화관리전후혈압변화차이유통계학의의(균P＜0.05)；혈압공제솔유38.5％(110/286)상승지96.9％(277/286),차이유통계학의의(x2=98.87,P＜0.01)；진단표준지효솔유66.4％(190/286)상승지100.0％(286/286),x2=115.36,P＜0.01；약물의종성유49.0％ (140/286)상승지91.3％(261/286),고우치료화관리전(x2=122.13,P＜0.01). 결론 노년고혈압병환자재사구치료화관리,능제고환자혈압공제솔,개선생활질량,시일충절실가행적종합방치수단.
Objective To evaluate the feasibility of community treatment and management mode in elderly patients with hypertension.Methods A total of 286 elderly patients with hypertension were treated with community therapy and management for 6 months.The improvements in life style and hypertension control were observed before and after the community treatment and management.Results There were significant differences in systolic blood pressure and diastolic blood pressure in the elderly patients before and after the treatment and management [(158.4± 11.3) mm Hg vs.(131.3±5.9) mm Hg,(99.6±8.9) mm Hg vs.(81.5±5.6) mm Hg,respectively,both P＜0.05].Compared with pretreatment,the blood pressure control rate,the awareness rate of diagnostic criteria and the drug compliance were significantly increased after the treatment and management [38.5％ (110/286) vs.96.9％ (277/286),66.4％ (190/286) vs.100％ (286/286),49％ (140/286)vs.91.3％ (261/286),x2 =98.87,115.36,122.13,respectively,all P＜0.01].Conclusions The community treatment and management can increase the blood pressure control rate and improve the quality of life in elderly patients with hypertension.It is a feasible method to comprehensively prevent and control hypertension.
