全病程病案管理对高血压患者的作用  

Influence of the long-term medical case management on patients with hypertension

作　　者：陈松华 贾伟 邱永斌 吴媛媛 李仁富 李怀惠 朱役 

机构地区：[1]南京军区南京总院汤山分院特诊科,南京211131 [2]南京军区南京总院汤山分院康复科,南京211131 [3]南京军区南京总院汤山分院疗养科,南京211131

出　　处：《中国实用神经疾病杂志》2014年第23期93-95,共3页Chinese Journal of Practical Nervous Diseases

基　　金：南京军区医药卫生科研项目(12MA094)

摘　　要：目的：探讨通过全病程病案管理对高血压患者的影响。方法将符合Ⅰ～Ⅱ级高血压男性患者68例，随机分成研究组、对照组，研究组运用全病程病案管理模式干预高血压患者的运动和规律生活习惯、服药依从性，提高其对高血压病的认识，对照组则按一般当地门诊随访模式治疗，半年后对患者的血压、体重指数（BMI）、腰围（WC）、腰臀比（WHR）、抑郁症状及焦虑症状、治疗依从性等进行比较。结果实验后，研究组在血压、体重指数、腰围及腰／臀比、抑郁症状及焦虑症状、治疗依从性方面明显优于对照组（ P＜0.05）。结论全病程病案模式对高血压患者的疗效具有可行性及有效性，并在一定程度上提高了患者的生存质量。Objective To investigate the influence of the long‐term medical case management on patients with hyperten‐sion. Methods Sixty‐eight mail patients with grade Ⅰ and Ⅱ hypertension were randomly and equally divided into experimen‐tal group and control group. Experimental group were treated with long‐term medical case management to intervene the regular exercise and lifestyle ,and increase the medication compliance and recognition of hypertension. Control group were treated with follow‐up clinic in local. The symptom ,recognition of hypertension ,blood pressure ,BMI （Body Mass Index ） ,WC （waist circumference） ,and WHR （waist to hip ratio） were assessed after 6 months. Results Symptom and recognition of hyperten‐sion in experimental group were significant improvement than that in control group （P〈0.05）after treatment（P〈0.05）. Dias‐tolic pressure（P〈0.05）and systolic pressure（P〈0.01）in experimental group were significant improvement than that in control group. BMI ,WC and WHR in experimental group were significant improvement than that in control group. Conclusion Long‐term medical case management can effectively influence the therapeutic effectiveness in patients with hypertension ,and improve the life quality.

关 键 词：高血压 全病程 病案管理模式 

分 类 号：R544.1[医药卫生—心血管疾病]