保健人群高血压病综合管理模式探讨  

COMPREHENSIVE MANAGEMENT MODE OF TREATING HYPERTENSIVE DISEASES IN PEOPLE RECEIVING HEALTH CARE

作　　者：于凤娜[1] 宋炳红[1] 赵焕宗[1] 

机构地区：[1]临沂市人民医院,山东临沂276003

出　　处：《山东医学高等专科学校学报》2015年第6期459-463,共5页Journal of Shandong Medical College

基　　金：山东省保健医学科研课题项目(No.2013BJYB04)

摘　　要：目的探讨高血压病的临床综合管理模式。方法自2013年6月开始对符合条件的151名保健对象既往病史及生活方式、生活习惯等资料进行问卷调查,收回有效问卷126份,在获取调查资料的同时获取在临沂市人民医院日常健康体检资料。其中,有高血压病史者108例,无高血压病史者18例。对126例研究对象进行动态血压监测。动态血压监测方法,晨6时至晚22时,每30min测血压一次,晚22时至次晨6时,每1h测血压一次。对每一位符合条件的保健服务对象,提供个体化的健康指导及患有高血压病的保健服务对象的综合管理,经干预和治疗调整指导后进行第二轮动态血压监测,观察相应干预模式的效果。结果第一轮动态血压监测检出用药后血压过低者15例;血压控制未达标者48例及无高血压病史检出高血压的8例共56患者,经个体化指导治疗3月,进行第二次动态血压监测。检测结果:所有血压过低者得到纠正,血压仍未完全控制好6例,其中2例有呼吸睡眠暂停。结论动态血压监测使高血压病的综合管理中个体化指导、治疗更加准确科学,使管理对象24h血压达标率明显提高。Objective To explore the comprehensive management mode of treating hypertensive diseases in people receiving health care.Methods Questionnaires about the past medical history,life-style,living habits and other information of 151 people receiving health care were conducted since June,2013.126 valid copies of questionnaire were recalled and the daily health examination data were also obtained.Among them,108 cases had hypertension history,18 cases had no hypertension history.Dynamic blood pressure monitoring was performed on 126 subjects.The blood pressure was taken evevy 30 minutes from 6a.m to22 p.m and every hour from 22 p.m to 6a.m.Personalized health guidance and comprehensive management of health care services for patients with hypertension were made.The second round of dynamic blood pressure monitoring was made and the effect of intervention model was observed.Results15 cases were found to have low blood pressure after medication in the first round of dynamic blood pressure monitoring.48 patients whose blood pressure control was not up to standard and 8patients with no history of hypertension,received 3-month personalized guidance and blood pressure monitoring.The test results revealed that low blood pressure was corrected.The blood pressure has not was not completely controlled in 6cases,2cases of which showed respiratory sleep apnea.Conclusion Dy-namic blood pressure monitoring can help to implement personalized guide and scientific treatment and to improve the 24-huor blood presure controling.

关 键 词：高血压病 综合管理 保健人群 

分 类 号：R473.54[医药卫生—护理学]