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目的:分析并评价综合管理模式防治社区高血压的效果。方法:将2010年1月-2010年8月于我社区卫生服务中心就诊563例高血压患者随机分为两组。其中实验组278例,采用社区高血压综合管理模式;对照组285例,采取常规药物治疗及门诊随访;1年后评价两组患者干预前和干预后在治疗依从性,血压,血压达标率等方面的变化。结果:干预前两组患者在治疗依从性,血压,血压控制达标率等方面组间比较差异无统计学意义(p>0.05)。干预后实验组患者高血压控制达标率明显增加(p<0.05),且在治疗依从性,平均血压值方面亦优于对照组(p<0.05)。结论:社区高血压综合管理模式能够有效降低患者血压,促进健康行为养成,提高患者治疗依从性。
Objective: To analyze and evaluate the effect of integrated management to prevent and control community-based hypertension. Methods: From January 2010 to August 2010, 563 hypertensive patients in our Community Health Service Center were randomly divided into two groups. Among them, 278 cases in the experimental group were treated with community-based hypertension management model; 285 cases in the control group were treated by regular drug treatment and outpatient follow-up. One year later, the compliance rate, blood pressure and blood pressure compliance rate were evaluated before and after intervention Changes in the area. Results: There was no significant difference between the two groups in terms of treatment compliance, blood pressure and blood pressure control compliance (p> 0.05). After the intervention, the compliance rate of hypertension control in the experimental group was significantly increased (p <0.05), and the treatment compliance and the average blood pressure value were also better than the control group (p <0.05). Conclusion: The comprehensive management of hypertension in community can effectively reduce the blood pressure, promote the development of healthy behaviors and improve the treatment compliance.