CAJ | 학술논문

采用整群分层随机抽样方法抽取社区老年高血压患者8 996例,使用建档管理、血压分层管理、个体化治疗以及健康教育等高血压综合防治手段进行管理3年.管理后患者血压知晓率、治疗率以及血压控制率均有明显提高,分别由68.30％、55.40％以及38.60％升高至98.90％、86.70％以及77.80％;收缩压、舒张压、体重指数、甘油三酯等高血压相关指标明显改善;超重肥胖、吸烟、饮酒者减少,规律运动者明显增多,均P＜0.05.提示以社区为基础的社区高血压综合防治能提高老年高血压患者的血压知晓率和治疗率,有效控制血压水平.
채용정군분층수궤추양방법추취사구노년고혈압환자8 996례,사용건당관리、혈압분층관리、개체화치료이급건강교육등고혈압종합방치수단진행관리3년.관리후환자혈압지효솔、치료솔이급혈압공제솔균유명현제고,분별유68.30％、55.40％이급38.60％승고지98.90％、86.70％이급77.80％;수축압、서장압、체중지수、감유삼지등고혈압상관지표명현개선;초중비반、흡연、음주자감소,규률운동자명현증다,균P＜0.05.제시이사구위기출적사구고혈압종합방치능제고노년고혈압환자적혈압지효솔화치료솔,유효공제혈압수평.
Using the method of stratified random cluster sampling,8 996 elderly hypertensive patients in community were selected in the study.Patients entered the community-based hypertension program receiving stratified management,individualized treatment and health education.After 3 years of intervention,the disease awareness rate,treatment compliance rate and hypertensive control rate were increased from 68.30％,55.40％ and 38.60％ to 98.90％,86.70％ and 77.80％,respectively (P ＜0.05).The systolic and diastolic pressure,body mass index,triglyceride levels and other hypertensionrelated indicators were improved significantly,the number of individuals with obesity/overweight,smoking and drinking were decreased and those with regular exercise increased (all P ＜ 0.05).The results indicate that community-based comprehensive hypertension management is effective for hypertension control for elderly patients in community.