基于疾病风险分层的健康管理模式在中青年高血压前期患者中的应用效果

目的：探讨基于疾病风险分层的健康管理模式在中青年高血压前期患者中的应用效果。方法：选取中青年高血压前期患者256例，随机分为观察组和对照组各128例。对照组采用常规健康教育，观察组采用疾病风险分层的健康管理模式。结果：干预6个月后，观察组超重与肥胖、摄入盐过量、运动量不足、不合理膳食、饮酒情况均低于对照组，差异有统计学意义（P<0.05）；吸烟、心理问题情况比较差异无统计学意义（P>0.05）；在趋势性检验中，膳食不合理、饮酒比较差异有统计学意义（P<0.05）。干预3、6个月后，观察组自我健康管理行为各维度得分均高于对照组，且随时间改变呈增高趋势（P<0.001）；收缩压、舒张压均低于对照组，差异有统计学意义（P<0.05）,且随时间改变呈降低趋势（P<0.001）。结论：基于疾病风险分层的健康管理模式可有效改善中青年高血压前期患者的健康危险因素，促进自我健康管理行为的建立，从而降低血压水平。

Application of health management model based on disease risk stratification in young and middle-aged patients with prehypertension

Objective: To explore the effect of health management model based on disease risk stratification on young andmiddle-aged patients with prehypertension. Methods: A total of 256 young and middle-aged patients with prehypertensionwere randomly divided into observation group and control group with 128 cases in each group. The control group receivedroutine health education, while the observation group received health management model based on disease riskstratification. Results: After 6 months of intervention, the levels of overweight, obesity, excessive salt intake, insufficientexercise, unreasonable diet， and drinking in the observation group were lower than the control group（P<0.05）. There wasno significant difference between smoking and psychological problems(P>0.05). There was significant difference betweenunreasonable diet and drinking in the trend test （P<0.05）.After 3 and 6 months intervention， the scores of self-healthmanagement behaviors in the observation group were significantly higher than those in the control group（P<0.05）， and ittended to increase with time（P<0.001）.The levels of SBP and DBP in the observation group were significantly lower thanthose in the control group， and it tended to decrease with time（P<0.001）. Conclusion: The health management modelbased on disease risk stratification can effectively decrease the health risk factors for young and middle-aged patients withprehypertension and promote self-health management of the patients, so as to control blood pressure effectively.