摘要
目的对社区高血压综合管理效果进行评价。方法在2006年1月至2006年3月对古荡社区已建档并进行综合管理的高血压患者228人作为研究组,对到古荡社区卫生服务中心门诊就诊的非本社区管理的高血压患者216人作为对照组进行高血压随访表调查。结果研究组高血压患者收缩压与舒张压得平均值均低于门诊病人,研究组高血压患者的高血压控制率高于对照组病人,研究组高血压患者吸烟人数少于对照组病人,采用减肥、运动、低钠饮食人数的比例高于门诊病人,2组间的差异有显著性意义。结论对高血压患者进行综合管理有利于患者生活方式的改变,及药物依从性的提高及高血压的控制。
OBJECTIVE To evaluate the effect of cooperative management for hypertension in the community health centers of Gudang. METHOD Across-sectional study was carried out from January 1st 2006 to march 1st 2006. By using a typical sampling method, two hundred and twenty eight patients were selected from community health services centers of Gudang who had received three years cooperative management, the other two hundred sixteen from out patient department of Gudang without cooperative management, they were surveyed by hypertensive follow-up questionnaire. Statistical analyses were carried out using SPSS10.0 software package. RESULTS Both SBP and DBP average of community cooperative management patients was lower than that of out patient department patients. They were 60.96% and 35.65% of patients, respectively in community cooperative management and out patient department, with both SBP and DBP under control. The rate of no-smoking and adopting lifestyle changes was higher in community cooperative management than in out patient department. The compliance with hypertensive drugs was better in community cooperative management than in out patient department. CONCLUSIONS The cooperative management of hypertension in community is beneficial to controlling hypertension, adopting lifestyle changes and enhancing adherennc to hypertensive drugs.
出处
《中国初级卫生保健》
2006年第9期26-27,共2页
Chinese Primary Health Care
关键词
社区卫生服务
高血压
综合管理
依从性
community health services, hypertension, cooperative management, adherence
