某社区慢病管理对高血压患者的影响分析

目的：探讨慢病管理对高血压患者的影响，为临床治疗提供依据。方法：将某社区卫生服务中心门诊2011年2月-2013年2月期间收治的260例高血压患者，随机分为慢病管理组和对照组，慢病管理组采用慢病管理方法管理，对照组给予一般健康指导，随访6个月，分析比较两组患者疾病认识、生活方式、血压控制水平及生活质量评价情况。结果：两组患者高血压认知度，慢病管理组达标率为lOO％，对照组为85．8％，慢病管理组高血压认知度高于对照组，差异有统计学意义（P〈0．01）。经6个月慢病管理后，慢病管理组不良生活习惯（吸烟、饮酒、高脂饮食、高盐饮食、体重、运动、情绪）情况明显改善，较对照组比较差异有统计学意义。慢病管理组血压控制率为96．43％（135／140），对照组为56．67％（68／120），差异有统计学意义（X2=21．57，P〈0．01）。慢病管理组生理领域、心理领域、社会关系领域及环境领域得分均高于对照组，差异有统计学意义（P〈0．01）。结论：对于高血压患者进行慢病管理可有效提高高血压的认识率、建立健康生活方式及提高患者生活质量。

Chronic disease management of patients with hypertension

Objective To study the effect of chronic disease management on patients with hypertension,and to provide evidence for clinical treatment. Methods 260 patients with hypertension who were treated in a community health service center during February 2011 and February 2013 were randomly assigned into chronic disease management group and control group. Chronic disease management group received chronic disease management while patients in the control group were given general health education. Follow-up was conducted of 6 months, and two groups were analyzed and compared in disease awareness,way of life, blood pressure control and quality of life. Results Hypertension awareness rates were 100% in chronic disease management group, higher than that in the control group （85.8% ） with significant difference（P〈0.01）. After 6 months of chronic disease management, bad habits （smoking, alcohol, high fat diet, high salt diet,weight,exercise,emotion） were improved obviously in chronic disease management group compared with the control group with statistically significant difference. Blood pressure control rate in chronic disease management group was 96.43G （135/140） ,significantly different from 56.67%（68/120）in the control group（x2 =21.57,P〈0.01）. The scores of chronic disease management group in physiological field, psychological field, social and environmental fields were higher than those of the control group. The difference was statistically significant（P〈0.01）. Conclusions For patients with hypertension chronic disease management can effectively improve the awareness rate of hypertension, establish a healthy lifestyle and improve the life quality of patients.