高血压自我管理模式与分级管理模式效果比较

目的]评价社区高血压自我管理模式实施6个月之后,高血压病人血压控制及随访服务的提供情况。方法]按照以社区为基础的随机对照试验研究设计,将219名自愿参加该研究的高血压病人,随机分为高血压自我管理模式组(干预组)和高血压三级管理模式组(对照组)。然后比较111名干预组病人和108名对照组病人在管理实施6个月后,在血压控制及对病人随访服务方面的变化。结果]干预组6个月内平均比高血压三级管理模式组多降低收缩压10.77mmHg、舒张压2.20mmHg;干预组血压控制率提高了36个百分点,明显好于对照组8个百分点,(P<0.001)。干预组病人得到医生提供的锻炼、饮食、戒烟、症状管理、自信心培养等随访支持服务比例明显高于对照组(P值均<0.05)结论]高血压自我管理模式较传统的高血压三级管理在控制血压及促进医生随访支持方面效果更好。

Analysis on effectiveness of hypertension self- management model and hypertension classification management model on blood pressure control

Objective]To analyze the six-month effectiveness of community-based hypertension self-management model and hypertension classified management model on blood pressure control and follow-up services in patients with hypertension. Methods]A community-based randomized controlled trial was conducted among 219 patients with hypertension recruited by voluntary registration , most with high school education. The 219 patients were randomized into 2 groups : intervention group (n=111) attended self-management model with a community doctor responsible for providing follow up, and control group (n = 108) receiving routine hypertension management services. Baseline and 6-month follow up assessment was conducted to analyze the effectiveness of the two groups. Results]The subjects in the intervention group showed greater improvement in blood pressure value and follow-up services.Conclusion]The community-based hypertension self-management model is more effective on the improvement of blood pressure control and follow-up services than the routine hypertension management model.