高血压慢病患者的慢病团队管理效果研究  

Effect of team management on chronic disease in patients with chronic hypertension

作　　者：王力[1] 王天轶[2] 温晓华[1] 刘艳如[1] 胡兴茂[3] 高冕 WANG Li;WANG Tian-yi;WEN Xiao-hua;LIU Yan-ru;HU Xing-mao;GAO Mian(Health Management Center,Bethune International Peace Hospital of PLA,Hebei Province,Shijiazhuang,050082,China;Department of ICU,Bethune International Peace Hospital of PLA,Hebei Province,Shijiazhuang 050082,China;Department of Medical,Bethune International Peace Hospital of PLA,Hebei Province,Shijiazhuang 050082,China)

机构地区：[1]中国人民解放军白求恩国际和平医院健康管理中心,河北石家庄050082 [2]中国人民解放军白求恩国际和平医院重症医学科,河北石家庄050082 [3]中国人民解放军白求恩国际和平医院医务部,河北石家庄050082

出　　处：《河北医科大学学报》2018年第6期645-648,652,共5页Journal of Hebei Medical University

基　　金：军队保健基金课题(16BJZ47);河北省医学科学研究重点课题(ZD20140057;20160255)

摘　　要：目的研究高血压慢病患者的慢病团队管理效果。方法将104例高血压慢病患者按随机数字表法分为研究组和常规组各52例。研究组采用慢病团队管理模式,常规组采用常规管理模式,比较不同管理模式对高血压慢病患者的管理效果。结果实施管理后研究组对相关知识了解和掌握、戒酒、体重达标、饮食知晓、饮食达标率均高于实施管理前和常规组,吸烟率低于实施管理前和常规组,差异有统计学意义(P<0.05)。实施管理前2组收缩压和舒张压差异无统计学意义(P>0.05);实施管理后2组收缩压和舒张压均明显低于实施管理前(P<0.05);实施管理后研究组收缩压和舒张压显著低于常规组(P<0.05)。研究组生活质量的生理方面、心理方面、社会关系和环境方面评分均高于常规组(P<0.05)。实施管理后研究组并发症发生率为3.85%,常规组并发症发生率为19.23%,研究组显著低于常规组(P<0.05)。结论实施慢病团队管理模式能促使患者掌握高血压健康知识,转变患者的生活方式和饮食习惯,控制患者的血压变化,改善患者的生活质量,降低患者的并发症发生率,适宜在临床广泛应用。Objective To study the effect of chronic disease team management in patients with chronic hypertension.Methods One Hundred and four patients with hypertension as a chronic disease were divided into the study group and the conventional group with 52 cases in each group by using the random number table method. The chronic disease team management mode was used for the study group and the conventional management mode was used for the conventional group. We compared the management effects of the two different management modes on patients with hypertension as a chronic disease.Results After management, the patients in the study group had higher data about the understanding and mastery of related knowledge, alcohol abstinence, standardized body weight, diet awareness rate and standardized diet, and had fewer smokers compared those in the two groups before management and those in the conventional group, the difference was statistically significant（ P 〈 0.05）. The difference of the systolic and diastolic blood pressures of patients in the 2 groups before management were not statistically significant（ P 〉 0.05）. After management, the patients in the 2 groups had significantly lower systolic and diastolic blood pressures compared to those before management （ P 〈 0.05）. After management the systolic and diastolic blood pressure of patients in the study group were significantly lower than those before management（ P 〈 0.05）. By comparing the quality of life of patients in the two groups after management, we found that the score of the quality of life（including physiology, mentality, social relations and environment ） in the study group was higher than that of the conventional group（ P 〈 0.05）. We compared the incidences of complications in the two groups after management. The incidence of complications in the two group were 3.85% and 19.23% respectively, and the study group had significantly lower incidence of complications as compared with the conventional group（ P 〈 0.05）.Conclusion

关 键 词：高血压 团队管理模式 对比研究 

分 类 号：R544.1[医药卫生—心血管疾病]