摘要
目的研究高血压的综合干预措施,为高血压的防治提供依据。方法采用前瞻性的对照研究方法,对干预组实施包括标准化治疗、健康教育、血压管理在内的为期2年的综合干预措施,对比干预组与对照组的差别,率的比较采用卡方检验,均数比较采用t检验。结果研究发现干预组人群干预后高血压的控制率、血脂的达标率、BMI的达标率、高血压知识的知晓率均高于干预前及对照组(P<0.05);干预组干预后人均门诊医疗费用增加1 254.6元/年(其中人均自付部分为307.2元),人均交通费增加90.0元/年,人均住院费降低3 389.7元/年,人均日常伙食费下降556.8元/年,与干预前及对照组比较,差异有统计学意义(P<0.05)。结论针对中老年高血压患者采取综合干预措施可以有效地提高血压的控制率、血脂及BMI的达标率、高血压知识的知晓率,改善患者的生活方式。尽管综合干预增加了高血压患者的门诊费用和医疗相关的交通费,但也降低了住院费和日常伙食费,实际上减少了生活必须支出和医保支持,应当加强高血压患者的综合干预,加大相关投入。
Objective To study the comprehensive intervention on hypertension so as to provide solid basis for prevention and treatment of hypertension. Methods Prospective control study was adopted to implement comprehensive intervention of standard treatment, health education, and blood pressure management for two years in the intervention group.Chi-square test for rate and t-test for mean were used to compare the differences between the intervention group and the control groups.Results The study showed atter intervention, the hypertension control rate, the standard-reaching rate of blood lipid and BMI, and the awareness rate of hypertension related knowledge in the intervention group were significantly higher than those before intervention or in the control group（P 〈 0.05）.After intervention,the average outpatient medical fees in the intervention group increased by 1 254.6 Yuan per year（307.2 Yuan of which paid by the patients themselves）, the average traffic fares increased by 90.0 Yuan per year,the average hospitalization expenses decreased by 3 389.7 Yuan per year, the average daily board expenses decreased by 556.8 Yuan per year, which showed the differences between the control group, the intervention group before intervention and the intervention group after intervention were of statistical significance（P 〈 0.05）.Conclusion Comprehensive intervention for middle-aged and elderly hypertension group can effectively increase the control rate, the standard-reaching rate of blood lipid and BMI, and the awareness rate of hypertension related knowledge, and improve the sufferers＇ life style. Though the outpatient medical fees and traffic fares related to medical treatment increased, the hospitalization expenses and the daily board expenses decreased, which actually decreased the life necessity expense and medical insurance.So comprehensive intervention for hypertension should be enhanced with increasing input.
出处
《中国疗养医学》
2014年第1期63-65,共3页
Chinese Journal of Convalescent Medicine
关键词
高血压
中老年人群
知晓率
控制率
医疗费
住院率
综合干预
Hypertension
Middle-aged and elderly hypertension group
Awareness rate
Control rate
Medical fees
Hospitalization rate
Comprehensive intervention
