家属共同参与原发性高血压健康管理的效果观察

目的通过对113例社区原发性高血压患者和家属同时进行综合性健康管理的效果观察,探讨社区原发性高血压防治新模式。方法从已建档的560例社区原发性高血压患者中随机抽取113例,与家属同时进行为期1年的健康管理,在管理前后用相同的问卷进行调查,评价其管理效果。结果患者对原发性高血压诊断标准、控盐量、危险因素、器官损害的知晓率以及患者的现存危险因素、到正规医疗机构接受健康管理、住院费用、血压的控制在管理前后比较差异有统计学意义（P〈0.05）;患者到正规医疗机构的规范管理率和血压控制率分别较管理前提高了13.3%和10.6%;家属对原发性高血压危险因素的知晓率和督促患者遵医行为的执行情况管理前后比较差异有统计学意义（P〈0.05）。结论对原发性高血压患者建立健康档案和动态监测分级管理,同时对家属也进行健康教育、家庭护理指导等综合性的健康管理,可进一步提高患者原发性高血压知识知晓率、规范管理率和控制率,减少现存危险因数,降低住院费用,值得推广。

Effect observation on family involvement in hypertension health management

Objective To explore a new model for the prevention and treatment of hypertension in the community by the effective observation on simultaneously conducting the comprehensive health management on 113 patients with primary hypertension and their family members.Methods 113 cases were randomly extracted from 560 patients with primary hypertension in a community as the research subjects and simultaneously carried out the 1-year health management with their family members.The same questionnaire survey before and after management was performed for evaluating the management effects.Results The knowledge rate of diagnostic criteria of hypertension,salinity control amount,risk factors and organ damage,patient′ s existing risk factors,receiving health management in the regular medical institutions,hospitalization costs and blood pressure control had statistical difference before and after management（P0.05）.The standardization management rate and the controlling rate of blood pressure in the regular medical institutions were increases by 13.3% and 10.6% respectively than before management.The knowledge rate of the family members on the risk factors of primary hypertension and the implementation status of supervising and urging the patients compliance behavior showed statistical difference before and after management（P0.05）.Conclusion Establishing the health files,conducting dynamic monitoring and classification management on hypertensive patients,at the same time implementing the health education,family nursing guidance and comprehensive health management on the family members can further improve the patients′ awareness of hypertension knowledge,the standardization management rate and the control rate,reduce the existing risk factors and decrease the hospitalization costs,which is worthy of being popularized.