摘要
目的:分析老年高血压患者采用社区慢性病管理的价值。方法:选取2021年5月—2022年6月北京市朝阳区将台社区卫生服务中心接受管理干预的82例老年高血压患者作为研究对象,随机分为基本管理组与实践管理组,各41例。基本管理组实施基本干预形式,实践管理组实施慢性病管理干预形式。对比两组生理指数及血压变化情况,统计患者肯定率及疾病管理效果。结果:管理前,两组空腹血糖、体重指数、腰围、尿微量白蛋白比较,差异无统计学意义(P>0.05);管理后,实践管理组空腹血糖、体重指数、腰围、尿微量白蛋白水平均低于基本管理组,差异有统计学意义(P<0.05)。管理前,两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05);管理后,实践管理组收缩压、舒张压水平均低于基本管理组,差异有统计学意义(P<0.05)。实践管理组肯定率高于基本管理组,差异有统计学意义(P<0.05)。实践管理组体育运动、戒烟戒酒、血压测量、按照医嘱服用药物与减少盐摄入量评分均高于基本管理组,差异有统计学意义(P<0.05)。结论:对社区老年高血压患者采用慢性病管理,可改善患者生理指标和血压指标,提高患者对社区管理工作的肯定度。
Objective:To analyze the value of community chronic disease management in the elderly patients with hypertension.Methods:From May 2021 to June 2022,82 elderly patients with hypertension who received the management intervention in Jiangtai Community Health Service Center of Chaoyang District of Beijing were selected as the study subjects.They were randomly divided into basic management group and practice management group,with 41 cases in each group.The basic management group implemented the basic intervention form.The practice management group implemented chronic disease management intervention form.The physiological index and blood pressure changes of the two groups were compared,and the patient positive evaluation rate and disease management effect were statistically calculated.Results:Before management,there were no significant differences in fasting blood glucose,body mass index,waist circumference and urine microalbumin between the two groups(P>0.05).After management,fasting blood glucose,body mass index,waist circumference,and urine microalbumin levels in the practice management group were all lower than those in the basic management group,and the differences were statistically significant(P<0.05).Before management,there was no significant difference in systolic and diastolic blood pressure levels between the two groups(P>0.05).After management,the systolic and diastolic blood pressure levels in the practice management group were lower than those in the basic management group,and the differences were statistically significant(P<0.05).The positive evaluation rate in the practice management group was higher than that in the basic management group,and the difference was statistically significant(P<0.05).The scores of physical activity,smoking cessation and alcohol withdrawal,blood pressure measurement,taking drugs as per medical order and salt intake reduction in the practice management group were all higher than those in the basic management group,and the differences were statistically significant(P<0.05).Conc
作者
李艳杰
邵华
温娟
Li Yan-jie;Shao Hua;Wen Juan(Beijing Chaoyang District Jiangtai Community Health Service Center,Beijing 100016,China)
出处
《中国社区医师》
2023年第6期164-166,共3页
Chinese Community Doctors
关键词
社区干预
慢性病管理
高血压
老年人
Community intervention
Chronic disease management
Hypertension
Elderly
