摘要
目的分析健康管理对老年原发性高血压(essential hypertension,EH)患者的应用效果及其对患者生存质量的影响。方法选取2014年1月至2016年1月在我院就诊治疗的科南社区EH患者360例,按照随机数字表法分为观察组和对照组,各180例。2组患者均给予常规抗高血压治疗及常规管理,观察组根据患者个体情况制订针对性健康管理计划,管理1年后,比较2组患者管理前后血脂、血压、血压控制率,治疗依从性、生活方式、中医体质以及生存质量改善情况。结果观察组TC、TG、LDL-C水平,收缩压及舒张压均明显低于对照组,HDL-C水平明显高于管理前及对照组,差异均有统计学意义(P<0.05);对照组管理前后HDL-C水平差异无统计学意义(P>0.05)。观察组血压达标率、治疗依从性、生活方式良好的人数比例、平和质人数比例均明显高于对照组,差异有统计学意义(P<0.05)。观察组SF-36量表评分(75.46±4.78)分明显高于对照组(59.52±3.84)分,差异有统计学意义(P<0.05)。结论健康管理对老年EH患者的应用效果显著,值得在临床推广使用。
Objective To analyze the effect of health management on elderly patients with essential hypertension and its effect on the quality of life of patients. Methods A total of 360 essential hypertension patients in the Conan community were treated in our hospital from January 2014 to January 2016, and divided into observation group and control group according to random number method, 180 cases each. Both groups were given conventional antihypertensive treatment and routine management. The observation group developed targeted health management plan according to individual circumstances. After one year of management, the levels of blood lipid, blood pressure, blood pressure control, treatment compliance, lifestyle, constitution of TCM and quality of life improvement were compared between the two groups. Re- suits The levels of TC, TG, LDL-C, systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those of the control group, and the levels of HDL-C in the observation group were significantly higher than those of the control group （P 〈 0.05）. The compliance rate of BP, treatment compliance, the number of people with good life style, and the number of people with moderate quality in the observation group were significantly higher than those of the control group, with significant difference （P 〈 0.05）. The SF-36 score of observation group （75.46±4.78） was significantly higher than the control group （59.52±3.84）, and the difference was statistically significant （P 〈 0.05）. Conclusion Health management of elderly patients with essential hypertension effect is significant, it is worth to promote the use in clinic.
作者
徐向东
Xu Xiangdong.(Beijing Zhongguancun Hospital, Beijing 100190, China)
出处
《北京医学》
CAS
2018年第2期100-103,共4页
Beijing Medical Journal
关键词
健康管理
原发性高血压
老年
中医体质
health management
essential hypertension
elderly patients
TCM constitutions
