摘要
目的：通过对高血压患者的社区健康管理，确定高血压社区健康管理模式的投入与产出，改变高血压患者的知信行，提出降低乌鲁木齐市高血压病患者降压治疗费用的合理建议。方法随机整群抽取乌鲁木齐市两所社区18岁以上患高血压病常住居民809例进行连续1年的社区健康管理，按随机数字表法随机将南湖二附院社区分为观察组，第二济困医院社区分为对照组，其中观察组414例，对照组395例；研究两组患者知识行为改变、治疗费用等情况，分析高血压健康管理成本效益。结果两组患者高血压知识及行为改变情况比较，观察组血压分级、超重肥胖知识知晓率分别为17．94％，43．10％，高于对照组（3．04％，29．77％），差异有统计学意义（χ2值分别为-5．688，15．608；P＜0．01）；观察组正常血压范围、危险因素知晓情况优于观察组，差异有统计学意义（ Z值分别为-11．927，-17．677；P ＜0.01）。两组患者治疗费用比较，观察组全部患者药物治疗费用、住院患者平均住院费用分别为（1583．88±981．24），（10725．77±11688．26）元，均少于对照组，差异有统计学意义（ t值分别为2．14，2.75；P＜0．05）；观察组服药患者药物治疗费用、其他费用均低于对照组，差异均有统计学意义（P＜0.01）。结论高血压社区健康管理能取得较好成本效益，是降低高血压病成本、提高高血压病患者生命质量的重要举措。
Objective Through the community health management of hypertension , to determine the input and output , change the knowledge , attitude, practice （ KAP） of hypertension patients and put forward the reasonable suggestions of antihypertensive treatment in order to reduce hypertensive patients ＇medical expenses . Methods By random cluster sampling method , we selected 809 hypertension patients , over 18 years old, from two communities in Urumqi .414 patients were in the management group and 395 patients were in the control group.The health management the cost benefit was analyzed by the change of patient ＇s KAP, medical expenses and so on.Results For the knowledge and behavior changes , 17.94% patients in the management group and 3.04%patients in the control knew the classification of blood pressure （Z=-5.688,P=0.000）.The master of normal range of blood pressure （Z=-11.927,P=0.000）, knowledge of obesity （χ2 =15.608,P=0.000） and knowledge of risk factors （χ2 =-17.677,P=0.000） between groups had significant differences （P〈0.01）.The total drug expenses of the management group and the control group were （1 583.88 ±981.24） and （1 923.90 ±1 523.81） yuan, respectively;the total hospitalization expenses of the management group and the control group were （10 725.77 ±11 688.26） and （15 327.03 ±10 280.42） yuan, respectively, the differences were significant （t=2.14,2.75, respectively;P〈0.05）.The costs of patients taking the drug and other costs in the management group were lower than the control group , the differences were significant （ P〈0.01 ）. Conclusions Hypertension health management can obtain a good cost benefit , reduce hypertension sickness cost, and improve quality of life .
出处
《中华现代护理杂志》
2014年第25期3157-3160,共4页
Chinese Journal of Modern Nursing
基金
新疆医科大学2011年科研创新基金项目（XJC2011114）
关键词
高血压
社区健康管理
成本效果
Hypertension
Community management
Cost effectiveness
