军事飞行人员高血压病患者的管理效果

目的评价疾病管理在军事飞行人员高血压患者中的应用效果,为建立规范化军事飞行人员高血压的疾病管理模式提供科学依据。方法以54例军事飞行人员高血压患者为研究对象,通过建立档案、健康教育、个体化非药物治疗、个体化药物治疗、随访管理等措施进行疾病管理。采用自身对照研究方法比较疾病管理前和1年后患者动态血压监测(ABPM)、生活方式、症状自评量表(SCL-90)评分、超重肥胖率、血脂异常率的变化。结果疾病管理1年后,患者24 h、日间、夜间收缩压和舒张压均值、吸烟、过度饮酒、高钠饮食、缺乏运动等不良生活方式比例,SCL-90量表总分和躯体化、强迫、人际关系敏感、抑郁、焦虑因子分,以及超重肥胖率、血脂异常率均低于管理前(P0.05)。结论对军事飞行人员高血压患者进行以建立档案、健康教育、个体化非药物治疗、个体化药物治疗、随访管理为一体化的疾病管理措施,能有效降低血压水平和高血压的相关危险因素,具有可行性和有效性。

Effect of disease management of hypertension in military pilots

Objective To evaluate the effect of disease management of hypertension patients among military pilots in order to provide data for the establishment of a standard disease management model for hypertension among military pilots.Methods Fifty-four military pilots with hypertension were selected as subjects.Diseae management was implemented by means of archives,health education,individualized non-drug therapy,individualized drug therapy and follow-up.By adopting the method of self control study,changes in ambulatory blood pressure monitoring (ABPM),lifestyles,symptom self-assessment scale (SCL-90) scores,the rate of overweight or obesity and dyslipidemia after a year's disease management were compared.Results One year after disease management,the 24 h,daytime and nighttime systolic blood pressure and mean diastolic blood pressure,such unhealthy lifestyles as smoking,excessive drinking,high-sodium diet,and lack of exercise,and total score of SCL-90 scale and somatization,OCD,interpersonal sensitivity,depression,anxiety factor scores,the rate of overweight or obesity,and the rate of dyslipidemia declined(P＜0.05).Conclusion Such disease management measures as archives,health education,individualized drug therapy and individualized drug therapy,and follow-up not only can effectively reduce blood pressure levels and related risk factors for hypertension,but are feasible and effective.