社区慢性病管理模式在老年高血压患者管理中的应用效果研究  

Application Effect of Community Chronic Disease Management Mode in Management of Elderly Hypertension Patients

作　　者：程瑶 Cheng Yao(General Practice Department,Fengtai Community Health Service Center,Beijing 100071,China)

机构地区：[1]丰台社区卫生服务中心全科,北京100071

出　　处：《中国社区医师》2022年第36期156-158,共3页Chinese Community Doctors

摘　　要：目的:探讨在老年高血压患者管理中实施社区慢性病管理模式的效果。方法:选取2021年1月-2022年1月丰台社区卫生服务中心收治的94例老年高血压患者为研究对象,按随机数字表法分为参照组与研究组,各47例。参照组采取常规管理模式,研究组采用社区慢性病管理模式。比较两组患者的血压水平、生活质量及护理满意度。结果:干预后,两组收缩压、舒张压水平均低于干预前,且研究组收缩压、舒张压水平均低于参照组,差异有统计学意义(P<0.05);研究组患者精力、情感健康、情感职能、生理功能、生理职能、躯体疼痛、社会功能以及一般健康状况评分均高于参照组,差异有统计学意义(P<0.05);研究组护理满意度高于参照组,差异有统计学意义(P<0.05)。结论:对老年高血压患者实施社区慢性病管理的效果显著,能有效控制患者血压,改善其生活质量,提高其护理满意度,具备临床推广价值。Objective: To explore the clinical effect observations of implementing the community chronic disease management mode in the management of elderly hypertension patients. Methods: Ninety-four elderly hypertension patients treated by Fengtai Community Health Service Center from January 2021 to January 2022 were selected as the study subjects, and they were divided into reference group and study group, with 47 cases in each group, according to the random number table method. The reference group adopted the conventional management mode, and the study group adopted the community chronic disease management mode.The levels of blood pressure, quality of life and nursing satisfaction in two groups were compared. Results: After the intervention, the levels of systolic blood pressure and diastolic blood pressure in two groups were lower than those before the intervention, and the levels of systolic blood pressure and diastolic blood pressure in the study group were lower than those in the reference group, and the differences were statistically significant(P<0.05). The scores of energy, emotional health, emotional functioning, physiological function, physiological functioning, physical pain, social function and general health status in the study group were all higher than those in the reference group, with statistically significant differences(P<0.05). The nursing satisfaction in the study group was higher than that in the control group, and the difference was obvious(P<0.05). Conclusion: Community chronic disease management for elderly patients with hypertension has a significant effect, which can effectively control the patient’s blood pressure, improve their quality of life, improve their nursing satisfaction, and has clinical promotion value.

关 键 词：老年 高血压 社区慢性病管理模式 常规管理模式 

分 类 号：R544.1[医药卫生—心血管疾病]