李惠娟. 疾病细节管理在社区高血压管理中的作用初探[J]. 上海预防医学, 2010, 22(6): 332-335.
引用本文: 李惠娟. 疾病细节管理在社区高血压管理中的作用初探[J]. 上海预防医学, 2010, 22(6): 332-335.
LI Hui-juan. Effect of detailed management in community hypertension management[J]. Shanghai Journal of Preventive Medicine, 2010, 22(6): 332-335.
Citation: LI Hui-juan. Effect of detailed management in community hypertension management[J]. Shanghai Journal of Preventive Medicine, 2010, 22(6): 332-335.

疾病细节管理在社区高血压管理中的作用初探

Effect of detailed management in community hypertension management

  • 摘要: 目的 探索疾病细节管理在社区高血压管理中的作用。方法 以健康筛查方法选取浦东新区上钢社区300例高血压患者,对其在基本情况及危险因素综合评估的基础上,通过调整和完善高血压管理的各个细节,规范高血压管理行为。结果 实施细节管理1年后目标人群其知晓率、服药率、控制率分别由75.3%、63.3%、43.6%提高到89.2%、87.7%、58.9%;降压达标作用明显,高危转中危的占27.8%,中危转低危的占68.5%;危险因素影响有所下降,饮食习惯改善,体力活动更趋合理,依从性提高;患者满意率从65.7%提高到96.3%。结论 疾病细节管理在社区高血压管理中的正向作用明显,不仅提高了高血压知晓率、治疗率和控制率,减少了危险因素,也提高了社区居民对高血压防治的正确认识,强化了社区高血压的规范化管理。

     

    Abstract: Objective To investigate detailed management in community hypertension management. Methods Three hundred cases of hypertension were selected in Shanggang community of Pudong District.A general assessment of basic situation and risk factors was made and by readjusting and perfecting all details in hypertension management to standardize hypertension management. Results One year later, the awareness rate, medication rate and control rate of the target population who had been under the details management was increased from 75.3%, 63.3%, 43.6% to 89.2%, 87.7%, 58.9%;great effect on the hypertension was achieved, in which 27.8% high danger converted to middle danger, 68.5% middle danger converted to low danger;risk factors were reduced, diet habit improved, physical exercise rationalized, compliance increased;patient satisfaction rate was increased from 65.7% to 96.3%. Conclusion There is a great positive effect of detailed management on community hypertension management.Not only the "three rates" were increased, risk factors decreased, but also the community residents' acknowledge of prevention and treatment on hypertension was increased, the standardize management of community hypertension strengthened.

     

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