海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
17期
2625-2626,2627
,共3页
高血压%社区%规范化管理
高血壓%社區%規範化管理
고혈압%사구%규범화관리
Hypertension%Community%Standardization management
目的：通过对社区高血压患者进行规范化管理，以探讨高血压三级预防，控制高血压“三率”的持续有效方案。方法将我院服务社区中246例患者纳入研究，按照随访次数分为规范化管理组(观察组)和非规范化管理组(对照组)，采用自行设计的高血压知识调查问卷，对两组高血压患者血压控制率、服药依从率、知识知晓率和规范化管理率进行比较。结果246例高血压患者中规范化管理患者201例，规范化管理率达81.7%；非规范化管理患者45例，非规范化管理率为18.3%；观察组血压控制率为91.54%，对照组控制率为13.33%，两组控制率比较差异有统计学意义(P<0.05)；观察组服药依从率为95.02%，高于对照组的88.89%，其差异亦有统计学意义(P<0.05)；观察组知识知晓率为93.03%，高于对照组的84.44%，两组比较差异有统计学意义(P<0.05)。结论对社区高血压患者进行规范化管理可以提高患者的服药依从率，提高血压控制率。
目的：通過對社區高血壓患者進行規範化管理，以探討高血壓三級預防，控製高血壓“三率”的持續有效方案。方法將我院服務社區中246例患者納入研究，按照隨訪次數分為規範化管理組(觀察組)和非規範化管理組(對照組)，採用自行設計的高血壓知識調查問捲，對兩組高血壓患者血壓控製率、服藥依從率、知識知曉率和規範化管理率進行比較。結果246例高血壓患者中規範化管理患者201例，規範化管理率達81.7%；非規範化管理患者45例，非規範化管理率為18.3%；觀察組血壓控製率為91.54%，對照組控製率為13.33%，兩組控製率比較差異有統計學意義(P<0.05)；觀察組服藥依從率為95.02%，高于對照組的88.89%，其差異亦有統計學意義(P<0.05)；觀察組知識知曉率為93.03%，高于對照組的84.44%，兩組比較差異有統計學意義(P<0.05)。結論對社區高血壓患者進行規範化管理可以提高患者的服藥依從率，提高血壓控製率。
목적：통과대사구고혈압환자진행규범화관리，이탐토고혈압삼급예방，공제고혈압“삼솔”적지속유효방안。방법장아원복무사구중246례환자납입연구，안조수방차수분위규범화관리조(관찰조)화비규범화관리조(대조조)，채용자행설계적고혈압지식조사문권，대량조고혈압환자혈압공제솔、복약의종솔、지식지효솔화규범화관리솔진행비교。결과246례고혈압환자중규범화관리환자201례，규범화관리솔체81.7%；비규범화관리환자45례，비규범화관리솔위18.3%；관찰조혈압공제솔위91.54%，대조조공제솔위13.33%，량조공제솔비교차이유통계학의의(P<0.05)；관찰조복약의종솔위95.02%，고우대조조적88.89%，기차이역유통계학의의(P<0.05)；관찰조지식지효솔위93.03%，고우대조조적84.44%，량조비교차이유통계학의의(P<0.05)。결론대사구고혈압환자진행규범화관리가이제고환자적복약의종솔，제고혈압공제솔。
Objective To investigate the tertiary prevention of hypertension and the effective solution in con-trolling the "three rates" of hypertension through standardized management of hypertensive patients in community. Methods A total of 246 patients from our community hospital were enrolled in the study. Based on the follow-up times, these patients were divided into two groups:standardized management group (observation group) and non stan-dardized management group (control group). A self-made hypertension knowledge questionnaire was employed to compare the difference between the two groups with hypertension control rate, medication compliance rate, knowl-edge awareness of hypertension rate and standardized management rate. Results Among 246 patients with hyperten-sion, 201 patients had went through standardized management (81.7%) and 45 patients had went through non stan-dardization management (18.3%). The blood pressure control rate in observation group was 91.54%, which was statis-tically significantly higher than 13.33%, the rate in control group (P<0.05). The medication compliance rate in obser-vation group (95.02%) was significantly higher than that in control group (88.89%), P<0.05. The knowledge aware-ness rate of observation group (93.03%) was also significantly higher than that in control group (84.44%), P<0.05. Conclusion Hypertensive patients in community with standardized management can improve their medication com-pliance rate and blood pressure control rate.
