三级医院全科医学科联合社区综合干预对高血压管理效果分析

［摘要］ 目的 探讨三级医院全科医学科联合社区综合干预对高血压管理的效果。 方法 随机选取石家庄市5家社区卫生服务中心作为研究对象来源，选取高血压患者500例，采取随机数字表法将所有患者分成为对照组（250例）和干预组（250例）。对照组患者由社区卫生服务中心进行常规健康管理，主要包括定期血压监测、用药指导和常规健康教育等。干预组实施三级医院全科医学科联合社区卫生服务中心进行综合干预模式，2组管理时间均为6个月。所有入组人员采用自行设计的高血压相关问卷，对2组干预前后的防治知识、自我管理行为进行评分。 结果 干预前，干预组与对照组的防治知识、自我管理得分差异无统计学意义（P＞0.05），干预6个月后，干预组的防治知识、自我管理得分均高于对照组，差异有统计学意义（P＜0.05），干预组患者血压较对照组更早达到平稳水平。 结论 三级医院全科医学科联合社区综合干预高血压管理的模式有利于改善社区高血压人群防治知识及自我管理水平。

Hypertension management program of combining the general practice department in general grade A tertiary hospital and community health service institutions

［Abstract］ Objective〖HTSS〗To evaluate the effects of the hypertension management program of combining the general practice department in general grade A tertiary hospital and community health service institutions. 〖WTHZ〗Methods〖HTSS〗Randomly assigned 500 patients with hypertension from five randomly assigned community health service institutions in Shijiazhuang city. Those patients were randomly assigned to receive regular hypertension management(n=250) from community health service institutions, including regular blood pressure monitoring, medication guidance, and routine health education and combination managements(n=250). Treatments in both groups were at least 6 months. The primary outcomes were the knowledge of hypertension prevention and treatment, and behaviors of self-management. 〖WTHZ〗Results〖HTSS〗There were no significant differences between groups in the knowledge of hypertension prevention and treatment, and behaviors of self-management before program intervention(P＞0.05). After 6 months program intervention, all primary outcomes in exposure group were higher than non-exposure group with statistically significant(P＜0.05). The blood pressure of the intervention group reached a stable level earlier than the control group. 〖WTHZ〗Conclusion〖HTSS〗The general practice department of the general grade tertiary hospital closely cooperates with community health service institutions may improve hypertension patients' cognition of hypertension prevention and treatment, and behaviors of self-management.