CAJ | 학술논문

目的：探讨通过全病程病案管理对高血压患者的影响。方法将符合Ⅰ～Ⅱ级高血压男性患者68例，随机分成研究组、对照组，研究组运用全病程病案管理模式干预高血压患者的运动和规律生活习惯、服药依从性，提高其对高血压病的认识，对照组则按一般当地门诊随访模式治疗，半年后对患者的血压、体重指数（BMI）、腰围（WC）、腰臀比（WHR）、抑郁症状及焦虑症状、治疗依从性等进行比较。结果实验后，研究组在血压、体重指数、腰围及腰／臀比、抑郁症状及焦虑症状、治疗依从性方面明显优于对照组（ P＜0.05）。结论全病程病案模式对高血压患者的疗效具有可行性及有效性，并在一定程度上提高了患者的生存质量。
목적：탐토통과전병정병안관리대고혈압환자적영향。방법장부합Ⅰ～Ⅱ급고혈압남성환자68례，수궤분성연구조、대조조，연구조운용전병정병안관리모식간예고혈압환자적운동화규률생활습관、복약의종성，제고기대고혈압병적인식，대조조칙안일반당지문진수방모식치료，반년후대환자적혈압、체중지수（BMI）、요위（WC）、요둔비（WHR）、억욱증상급초필증상、치료의종성등진행비교。결과실험후，연구조재혈압、체중지수、요위급요／둔비、억욱증상급초필증상、치료의종성방면명현우우대조조（ P＜0.05）。결론전병정병안모식대고혈압환자적료효구유가행성급유효성，병재일정정도상제고료환자적생존질량。
Objective To investigate the influence of the long‐term medical case management on patients with hyperten‐sion. Methods Sixty‐eight mail patients with grade Ⅰ and Ⅱ hypertension were randomly and equally divided into experimen‐tal group and control group. Experimental group were treated with long‐term medical case management to intervene the regular exercise and lifestyle ,and increase the medication compliance and recognition of hypertension. Control group were treated with follow‐up clinic in local. The symptom ,recognition of hypertension ,blood pressure ,BMI (Body Mass Index ) ,WC (waist circumference) ,and WHR (waist to hip ratio) were assessed after 6 months. Results Symptom and recognition of hyperten‐sion in experimental group were significant improvement than that in control group (P<0.05)after treatment(P<0.05). Dias‐tolic pressure(P<0.05)and systolic pressure(P<0.01)in experimental group were significant improvement than that in control group. BMI ,WC and WHR in experimental group were significant improvement than that in control group. Conclusion Long‐term medical case management can effectively influence the therapeutic effectiveness in patients with hypertension ,and improve the life quality.