门诊高血压患者综合管理效果评价  

Effect of comprehensive management on outpatients with hypertension

作　　者：杨霈龙 王立新[2] 袁芳[1] 郭春燕[1] 程爱媛 

机构地区：[1]河北北方学院研究生部,河北张家口075000 [2]河北北方学院附属第一医院高血压门诊,河北张家口075000

出　　处：《现代预防医学》2016年第9期1621-1625,共5页Modern Preventive Medicine

基　　金：河北省科技计划基金资助项目(142777111D);河北北方学院自然科学研究计划基金资助项目(ZD201415);国家"十二.五"科技支撑基金资助项目(2011BAI11B04);河北省卫生厅科研基金资助项目(20110175)

摘　　要：目的评价“两表一方”综合管理办法对门诊高血压患者的干预效果。方法收集2013年11月～2014年6月来医院门诊就诊的1270例患者为研究对象，采用随机数字表法分为对照组（636例）和管理组（634例）。对照组患者接受常规治疗，管理组患者在门诊治疗的基础上发放家庭自测血压记录表、高血压患者服药表及健康教育处方简称“两表一方”，对患者进行全程综合管理，随访一年。结果一年后，管理组家庭自测血压率、Morisky服药依从率、治疗率、血压控制率均有明显提高（P〈0．01）；管理组的总胆固醇、低密度脂蛋白胆固醇、三酰甘油、空腹血糖及同型半胱氨酸达标率明显提高（P〈0．01）；管理组低盐饮食、规律运动人数明显增加（P〈0．01），吸烟饮酒人数明显下降（P〈0．01）；两组患者合理用药率均有所提高，管理组明显高于对照组（P〈0．01）。结论“两表一方”的综合管理办法对门诊高血压患者综合干预效果显著，简单易行，值得临床推广。Objective To evaluate the Intervention effect of the comprehensive management ＂two tables and one prescription＂ on outpatients with hypertension. Methods 1270 patients who were treated by hypertension clinic during November 2013 to June 2014 were included into the study. Random digits table method was adopted to divide the patients into two groups： control group （636 cases） and management group （634 cases）. The patients in the control group and management group both received conventional outpatient treatment. In the meanwhile, self - testing blood pressure records, medication list of patients with hypertension and health education prescription referred to as the ＂ two tables and one prescription＂ were given to the management group. All patients were followed up for one year. Results Compared to baseline, the family self - testing blood pressure rate, the Morisky medication adherence rate, treatment rate, blood pressure control rate of treatment group had significantly improved （P 〈 0.01 ）. The compliance rate of the total cholesterol, Low -density lipoprotein cholesterol, triglyceride （TG）, fasting plasma glucose （FPG） and homocysteine type（HCY） in management group had significantly improved （P 〈 0. O1 ）. The rate of alcohol drinking or smoking was decreased while the rate of physical activities or light diet was increased. However, the detection rate of overweight or obese had no significant changes. The rates of rational use of drugs of patients in two groups were improved and the rate in the management group was significantly higher than that in the control group. Conclusion The comprehensive management methods＇two tables and one prescription＇ has a significant effect of the comprehensive intervention for patients with hypertension. It is simple and easy to implement, and it is worth learning and popularizing.

关 键 词：Morisky依从性量表 高血压门诊 血压控制率 危险因素 

分 类 号：R197[医药卫生—卫生事业管理]