老年高血压患者社区治疗和管理的效果观察  

The therapeutic effect of the community treatment and management of hypertension in elderly patients

作　　者：赵宇[1] 杨莉莉[1] 吕英慧[1] 康晓新[1] 李春凤[1] 

机构地区：[1]齐齐哈尔医学院第三附属医院老年科,161000

出　　处：《中华老年医学杂志》2013年第5期490-492,共3页Chinese Journal of Geriatrics

摘　　要：目的 评价老年高血压病患者在社区治疗和管理模式的可行性. 方法 对286例老年高血压病患者进行社区治疗和管理6个月,观察患者社区治疗和管理前后生活方式改善情况及高血压病控制情况. 结果 老年高血压病患者整体血压水平治疗和管理前后收缩压水平分别为（158.4±11.3）mm Hg（1 mm Hg=0.133 kPa）和（131.3±5.9）mm Hg,舒张压水平分别为（99.6±8.9）mm Hg和（81.5±5.6）mm Hg,治疗和管理前后血压变化差异有统计学意义（均P＜0.05）；血压控制率由38.5％（110/286）上升至96.9％（277/286）,差异有统计学意义（x2=98.87,P＜0.01）；诊断标准知晓率由66.4％（190/286）上升至100.0％（286/286）,x2=115.36,P＜0.01；药物依从性由49.0％ （140/286）上升至91.3％（261/286）,高于治疗和管理前（x2=122.13,P＜0.01）. 结论 老年高血压病患者在社区治疗和管理,能提高患者血压控制率,改善生活质量,是一种切实可行的综合防治手段.Objective To evaluate the feasibility of community treatment and management mode in elderly patients with hypertension.Methods A total of 286 elderly patients with hypertension were treated with community therapy and management for 6 months.The improvements in life style and hypertension control were observed before and after the community treatment and management.Results There were significant differences in systolic blood pressure and diastolic blood pressure in the elderly patients before and after the treatment and management [（158.4± 11.3） mm Hg vs.（131.3±5.9） mm Hg,（99.6±8.9） mm Hg vs.（81.5±5.6） mm Hg,respectively,both P〈0.05].Compared with pretreatment,the blood pressure control rate,the awareness rate of diagnostic criteria and the drug compliance were significantly increased after the treatment and management [38.5% （110/286） vs.96.9% （277/286）,66.4% （190/286） vs.100% （286/286）,49% （140/286）vs.91.3% （261/286）,x2 =98.87,115.36,122.13,respectively,all P〈0.01].Conclusions The community treatment and management can increase the blood pressure control rate and improve the quality of life in elderly patients with hypertension.It is a feasible method to comprehensively prevent and control hypertension.

关 键 词：高血压 社区卫生服务 

分 类 号：R544.1[医药卫生—心血管疾病]