远程家庭自测血压在社区高血压管理中的作用研究  

The effect of remote home self testing blood pressure in hypertension management in community

作　　者：杨长贵[1] 欧秀莲 李小玲[1] 

机构地区：[1]深圳市福田区人民医院社区健康服务管理中心,广东省深圳市518033

出　　处：《中国心血管病研究》2016年第6期524-527,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨远程管理优化家庭自测血压在社区高血压管理中的应用效果.方法 纳入深圳市福田区人民医院所辖的福田区22个社康中心共5000名高血压患者,研究分为三个阶段.第一阶段：患者进行高血压健康宣教及药物干预,实施自我管理,患者在家自行测量血压并记录,定期到社康中心随诊,根据血压控制情况调整治疗方案.第二阶段：对第一阶段血压控制未达标的患者实施专人跟踪管理,由社康中心安排专人定期对患者进行随访,主动保持联系并指导治疗.第三阶段：将第二阶段血压控制仍未达标的患者随机分为研究组与对照组,对照组干预措施仍与第二阶段相同,研究组则实施家庭自测血压自动记录与分析系统进行管理,采用欧姆龙公司研发的智诊通专业血压测量仪（HEM-7080-IC）在家测量血压.患者在家中测得的血压值将直接发送至福田区人民医院高血压诊治中心,由高血压诊治中心医生联合社康医生分析后根据患者实际病情给予有针对性的治疗.观察患者干预前、后血压水平及血压控制达标率,并采用高血压治疗依从性量表对患者的治疗依从性情况进行调查分析.结果 两组患者干预前血压水平比较未见统计学差异（P＞0.05）;干预后,研究组收缩压（SBP）、舒张压（DBP）分别为（138±9）mm Hg、（83±7）mm Hg,对照组分别为（146±13）mm Hg、（89±10）mm Hg,差异有统计学意义（P＜0.05）;研究组血压控制达标率为60.35％,对照组为35.67％,差异有统计学意义（P＜0.01）;研究组遵医服药行为、不良服药行为、日常生活管理行为、研究嗜好管理行为得分及量表总分分别为19.62±5.35、38.97±4.18、35.02±6.85、8.93±2.21及100.76±9.44,对照组分别为18.32±5.22、30.43±6.55、33.69±7.14、7.56±2.63及90.93±10.15,差异有统计学意义（P＜0.05）.结论 对高血压患者实施远程管理优化家庭自测血压,能够有Objective To explore the application effect of the remote management optimization of family self testing blood pressure in hypertension management in community. Methods A total of 5000 patients with hy- pertension in the Futian District of Shenzhen Futian people＇s Hospital under the jurisdiction of the 22 community health center were enrolled, and the research was divided into three stages. The first stage： patients accepted hy- pertension health education and drug intervention, and self-management was implemented at home. They measured the blood pressure and record, and regularly went to the community health service center for follow-up. Second stage： the patients whose blood pressure were not controlled satisfied will be arranged special doctor to guide the treatment. The third stage： the patients with still high blood pressure in second stage were randomly divided into study group and control group. In control group, intervention measures were still the same as the second stage. In study group, the patients acceptedblood pressure automatic recording and analysis system of blood pressure of OM- RON company （HEM-7080-IC）. The patients sent the results directly and adjusted treatment according to the doctor advaneeof community. The blood pressure level and blood pressure control compliance rate were observed before and after the intervention. The treatment compliance of the patients was investigated and the treatment compliance of hypertension treatment was analyzed. Results There was no significant difference in blood pressure between the two groups before the intervention （P〉0.05）. After the intervention, the systolic blood pressure（SBP） and diastolic blood pressure（DBP） were （138±9）mm Hg and（83±7）mm Hg in study group, and were（146±13） mm Hg and （89±10）mm Hg respectively in the control group, and the difference was significant （P〈0.05）. The blood pressure control rate of the study group was 60.35%, and the control group was 35.67%, and the difference was signi

关 键 词：远程家庭自测血压 高血压 管理 效果 

分 类 号：R544.1[医药卫生—心血管疾病]