摘要
目的通过对社区门诊老年高血压合并糖尿病患者的健康管理,探讨老年常见慢性病的社区管理方式。方法采取整群抽样方法随机选取辖区内90例在社区站建立健康档案的老年高血压合并糖尿病患者,采用配对设计分为实验组和对照组,实验组除给予药物治疗外还采取健康教育、膳食运动指导、定期随访等综合干预;对照组为单纯药物治疗组,不加其他干预措施。随访1年,比较管理前后血压、血糖控制情况和健康行为的变化。结果综合干预后实验组定期随访、规律服药、低盐饮食及参加运动的患者比例均明显高于对照组(P<0.05);实验组收缩压和舒张压分别为(133.4±8.9)mm Hg和(77.3±9.4)mm Hg,明显低于干预前的(145.8±9.5)mm Hg和(87.8±9.7)mm Hg(P<0.05);平均空腹血糖(FPG)和2 h餐后血糖(2 hPG)水平与对照组干预后差异均有统计学意义(P<0.05)。结论对社区老年高血压合并糖尿病患者进行规范管理,可以提高血压、血糖控制率,延缓心脑血管病的发生。
Objective To investigate the management of common chronic disease in community hospital through health management of elderly patients with hypertension and diabetes.Methods 90 patients with hypertension and diabetes who established health records in the community were randomly selected.Patients were divided into the experimental group and control group by paired design.The experimental group was given medication as well as health education,diet exercise guidance,regular follow-up and other comprehensive intervention;the control group was only given medication treatment,without other interventions.After one year follow-up,blood pressure,glycemic control and health behavior change between the two groups before and after management were compared.Results After comprehensive intervention,patients in the experimental group were followed up regularly.The proportion of taking regular medication,low-salt diet and participation in sports were significantly higher in the experimental group than in the control group（P0.05）;the systolic pressure（133.4±8.9）mm Hg and diastolic pressure（77.3±9.4）mm Hg in the experimental group were significantly lower than the（145.8±9.5）mm Hg and（87.8± 9.7）mm Hg before the intervention（P0.05）.After intervention,the difference of FPG and 2hPG between the experimental group and control group was statistically significant（P0.05）.Conclusion Standard management of old hypertensive patients with diabetes in community can increase the controlling rates of blood pressure and blood glucose and can delay the occurrences of cardiovascular and cerebrovascular disease.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第17期1943-1945,共3页
Chinese General Practice
关键词
高血压
糖尿病
健康教育
Hypertension
Diabetes
Health education
