CAJ | 학술논문

【目的】探讨团队式综合管理对原发性高血压患者疗效的影响研究。【方法】选择2011年2月至2014年5月本院收治的80例原发性高血压患者,对其进行团队式综合管理,比较管理前后患者高血压知识知晓率、血压控制情况及血脂指标变化。【结果】管理后,患者高血压定义、诱发因素、高血压危害、预防方法、诊断标准值的知晓率均明显高于管理前,差异均具有统计学意义(均 P <0.05)。管理后,患者收缩压、舒张压分别为(124.25±14.27)mmHg、(79.23±7.88)mmHg,均低于管理前,差异均具有统计学意义(均 P <0.05)。管理后血压控制达标率为83.75%,明显高于管理前55.00%,差异具有统计学意义(P <0.05)。管理后,患者血清总胆固醇、三酰甘油、低密度脂蛋白胆固醇水平明显降低,差异具有统计学意义(均 P <0.05),管理前后高密度脂蛋白胆固醇无显著差异(P >0.05)。【结论】团队式综合管理治疗原发性高血压疗效显著,能够提高患者对高血压知识知晓率,明显改善患者血压情况,值得临床推广。
【목적】탐토단대식종합관리대원발성고혈압환자료효적영향연구。【방법】선택2011년2월지2014년5월본원수치적80례원발성고혈압환자,대기진행단대식종합관리,비교관리전후환자고혈압지식지효솔、혈압공제정황급혈지지표변화。【결과】관리후,환자고혈압정의、유발인소、고혈압위해、예방방법、진단표준치적지효솔균명현고우관리전,차이균구유통계학의의(균 P <0.05)。관리후,환자수축압、서장압분별위(124.25±14.27)mmHg、(79.23±7.88)mmHg,균저우관리전,차이균구유통계학의의(균 P <0.05)。관리후혈압공제체표솔위83.75%,명현고우관리전55.00%,차이구유통계학의의(P <0.05)。관리후,환자혈청총담고순、삼선감유、저밀도지단백담고순수평명현강저,차이구유통계학의의(균 P <0.05),관리전후고밀도지단백담고순무현저차이(P >0.05)。【결론】단대식종합관리치료원발성고혈압료효현저,능구제고환자대고혈압지식지효솔,명현개선환자혈압정황,치득림상추엄。
[Objective]To explore the effects of integrated team management on the treatment efficacy of patients with hypertension.[Methods]Eighty cases of patients with essential hypertension were admitted to our hospital from February 201 1 to May of 2014 underwent integrated team management .the awareness rate of knowledge and control rate of blood pressure and metabolic indexes were compared before and after the management.[Results]After the management,the awareness rate of definition of hypertension,etiological factors,harm of hypertension,methods of prevention,diagnostic standard respectively were 85%,95%, 91.25%,81.25%,83.75%,significantly higher than that without management (P <0.05).After administra-tion,systolic blood pressure,diastolic blood pressure were (124.25±14.27)mmHg,(79.23±7.88)mmHg, much lower than that before the integrated team management,the difference was significant (P < 0.05 ). Blood pressure control compliance rate was 83.75% after the management ,significantly higher than that be-fore the management (55%)(P <0.05).After the management,the patients'total cholesterol,triglyceride, low density lipoprotein cholesterol levels significantly decreased (P <0.05).There was no significant differ-ence in high density lipoprotein cholesterol before and after the management (P >0.05 ).[Conclusion]Inte-grated Team management in the treatment of primary hypertension gained remarkable results,that can pro-mote the awareness rate of hypertension knowledge,stabilize the patients'blood pressure.