CAJ | 학술논문

目的：为了能够在控制血压的基础上提高社区高血压患者的生活质量，分析和探讨将社区管理应用于高血压患者的可行性和必要性。方法：抽取2013年1月至2014年1月来我社区门诊就诊的312例高血压患者作为研究对象，按照双盲随机分配的原则分为对照组和观察组，其中观察组的患者在进行高血压常规药物治疗的基础上统一进行社区管理，而对照组患者则仅仅给予常规的药物治疗，对比和分析两组患者的血压控制情况及影响患者血压的常见因素。结果：经过统计分析发现，对照组患者的血压控制情况明显不如观察组患者，且两组比较差异具体统计学意义(P<0.05)，且喝酒、缺乏锻炼、高盐饮食、高脂饮食和情绪失控等方面是影响患者血压的主要因素。结论：高血压患者在进行药物治疗基础上进行社区管理，有助于患者形成健康的生活方式、用药习惯和平稳控制血压，值得推广和借鉴。
목적：위료능구재공제혈압적기출상제고사구고혈압환자적생활질량，분석화탐토장사구관리응용우고혈압환자적가행성화필요성。방법：추취2013년1월지2014년1월래아사구문진취진적312례고혈압환자작위연구대상，안조쌍맹수궤분배적원칙분위대조조화관찰조，기중관찰조적환자재진행고혈압상규약물치료적기출상통일진행사구관리，이대조조환자칙부부급여상규적약물치료，대비화분석량조환자적혈압공제정황급영향환자혈압적상견인소。결과：경과통계분석발현，대조조환자적혈압공제정황명현불여관찰조환자，차량조비교차이구체통계학의의(P<0.05)，차갈주、결핍단련、고염음식、고지음식화정서실공등방면시영향환자혈압적주요인소。결론：고혈압환자재진행약물치료기출상진행사구관리，유조우환자형성건강적생활방식、용약습관화평은공제혈압，치득추엄화차감。
Objective:To improve the life quality of community management based on controlling the blood pressure,as well as analyze and discuss the feasibility and necessarity of community management.Methods:312 hypertension patients treated in the outpatient of our hospital from Jan 2013 to Jan 2014 were selected as the study objects,and divided them into control group and observation group by random double-blind principle,the control group was treated by conventional medicine,the observation group was given community management based on control group,the control situation and common factors that affected the blood pressure of 2 groups were compared and analyzed.Results:After statistical analysis,it showed that the control situation of control group was less signiifcant than observation group,difference between 2 groups was statistically signiifcant (P<0.05),drinking,lack of exercise,high-salt diet,high-fat diet,out of control emotion and so on were the common factors that affect the blood pressure control.Conclusion:It can help the patients to form healthy lifestyle,good medicine habit that applying community management in hypertension patients based on medicine,which can control the blood pressure steady,it’s worthy of being promoted in clinic.