摘要
目的探讨社区远程血压管理对高血压的控制及其延续性。方法选择郑州市中原区某社区的1 200例高血压患者,将其分为日常门诊血压诊疗的对照组和社区远程血压管理的干预组,每组600例。两组患者均进行为期8个月的治疗干预,对两组患者治疗前后的情况进行回顾性分析和比较。结果8个月的治疗干预结束时,干预组患者血压明显低于对照组(P<0.05);血压达标率明显髙于对照组(P<0.05);干预组患者高血压知识知晓情况、治疗依从性明显优于对照组(P<0.05);再门诊率及再住院率明显低于对照组(P<0.05);4个月的洗脱期后,干预组各项指标仍优于对照组(P<0.05)。结论社区远程血压管理是一种有效的高血压综合治疗和管理方式,并具有一定的延续效应,值得在临床上进一步推广应用。
Objective To explore the control of remote blood pressure management in community on hypertension and its continuity.Methods A total of 1 200 cases of hypertensive selected from a community in Zhongyuan district of Zhengzhou city,were randomly divided into the control group and the intervention group,with 600 cases in each group.Patients in both groups were treated with 8 months of intervention,and the situation of patients in both groups before and after treatment was retrospectively analyzed and compared.Results At the end of intervention for 8 months,the blood pressure in the intervention group was significantly lower than that of the control group(P<0.05).The standard rate of blood pressure was significantly higher than that of the control group(P<0.05).The knowledge of hypertension and treatment compliance of patients in the intervention group were significantly better than those in the control group(P<0.05).The re-outpatient rate and re-hospitalization rate were significantly lower than those of the control group(P<0.05).After a washout period for 4 months,all indicators in the intervention group were better than those in the control group as ever(P<0.05).Conclusion Remote blood pressure management in community is an effective comprehensive treatment and management method for hypertension and has a long-lasting effect,which is worthy of further application in clinic.
作者
余淑华
刘敏
YU Shuhua;LIU Min(Department of Hypertension,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China;Department of Hypertension,Henan People′s Hospital,Zhengzhou,Henan 450003,China)
出处
《重庆医学》
CAS
2019年第17期2941-2944,共4页
Chongqing medicine
基金
2016年河南省科技惠民计划项目(162207310003)
关键词
高血压
远程血压管理
社区卫生服务
血压达标率
延续性
hypertension
remote blood pressure management
community health services
blood pressure compliance rate
continuity
