目的分析研究社区高血压患者健康管理模式的应用效果。方法回顾性分析2012年7月-2013年7月,我社区600例高血压患者的病历资料,以数字法随机分为管理组(450例)和对照组(150例)。管理组进行健康管理,对照组行常规自我管理。对两组患者的血压控制率及血压变化进行比较。结果管理组优良率为70.2%(316/450),明显高于对照组优良率53.3%(80/150),管理组的不良率为4.9%(22/450),显著低于对照组的不良率26.7%(40/150)。差异均有统计学意义(均P〈0.05)。管理组的收缩压为(109.2±25.4)mmHg,显著低于对照组收缩压(148.6±50.4)mmHg,管理组舒张压为(72.4±10.8)mmHg,显著低于对照组舒张压(86.7±16.8)mmHg。差异均有统计学意义(均P〈0.05)。结论健康管理模式能调动患者的自觉性和主动性,健康管理覆盖面广泛,投入成本较低,能使用有限的资源最大化改善人类健康,对高血压患者的保护和预防十分有利。对患者进行各阶段的干预和高血压控制,有效降低了高血压疾病对患者的威胁,达到了提高生命质量以及降低疾病负担的目的,覆盖面较广,安全性高,值得推荐。
【Objective】To analysis the applied effect of the health management mode of patients with hypertension in community.【Methods】A retrospective analysis of 600 hypertensive patients medical records from July 2012 to July 2013 in our July,with digital method were randomly divided into control group(450 cases), control group(150 cases). Management group with health management, and the control group receive self management routine. The control rate and the change of blood pressure were compared of two group patients.【Results】The excellent and good rate in management group was 70.2%(316/450), significantly higher than 53.3%(80/150) in the control group, the bad rate in management group was 4.9%(22/450), significantly lower than 26.7%(40/150) in control group. The differences were statistically significant(P 0.05). The systolic blood pressure in management group was(109.2±25.4) mmHg, significantly lower than(148.6±50.4) mmHg in control group, the diastolic blood pressure in management group was(72.4±10.8) mmHg, significantly lower than(86.7±16.8)mmHg in control group. The differences were statistically significant(P〈0.05).【Conclusion】Health management mode to mobilize the consciousness and initiative of patients, health management cover widely, the investment cost is low, using of limited resources to improve human health maximize, and it is very beneficial to the protecting and the preventing the hypertension of patients. Intervention and controlling hypertension in each stage of the disease, reduce the threat of hypertension disease. To improve the quality of life and reduce the burden of disease. The coverage is broad and safety is high, o it is worthy of recommendation.