慢病管理模式对高血压患者的影响

目的探讨慢病管理模式对高血压患者的影响。方法将136例高血压患者随机分为慢病管理组（70例）和对照组（66例）,两组均采用常规药物治疗,慢病管理组在此基础上实施慢病管理。观察患者生活方式、疾病认识、血压控制情况及生活质量,进行6个月的随访。结果慢病管理组对疾病认识达标率为100%,优于对照组的84.8%（P〈0.01）;慢病管理组患者生活方式有明显改善,优于对照组（P〈0.05、P〈0.01）;慢病管理组血压控制率92.86%（65/70）,优于对照组的56.06%（37/66）（P〈0.01）;慢病管理组生活质量评价优于对照组（P〈0.01）。结论开展高血压患者的慢病管理,有利于提高患者对高血压的认识率,有利于疾病的控制,有利于患者生活质量的提高,并且提升了患者满意度,和谐了医患关系。

Influence of chronic disease management model to patients with hypertension

Objective To explore the effect of chronic disease management model in hypertension patients.Methods 136 cases of hypertension patients were enrolled in this experiment.According to the usage of chronic disease management or not,they were divided into two groups: the routine group in which 66 cases were treated with routine therapy and the chronic disease management group in which 70 cases received chronic disease management besides routine therapy.The life style,the understanding of hypertension,blood pressure and the quality of life were observed,in conjunction with six-month-following-up.Results The chronic disease management group was 100% success in knowing hypertension,better than that in the routine group(84.8%)(P < 0.01);the life style and the life quality of chronic disease management group were obviously improved,both better than the routine group(P < 0.05,P < 0.01);and the blood pressure control reached 92.86%(65/70),better than those in the routine group(56.06%,37/66)(P < 0.01).Conclusion Chronic disease management model is better to improve the understanding rate of hypertension,and be helpful for disease control,which is beneficial to improve the life quality of hypertension patients.In this way,we can improve the patient’s satisfaction and help to create a harmonious doctor-patient relationship.