Analyses on the effect of community-based intervention on hypertension / 中华流行病学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To testify the feasibility of management through contract system between general practitioners and patients.</p><p><b>METHODS</b>In Sichuan province contract was made between general practitioners and hypertension patients in "community health service center-family of hypertension patients" in Yulin community in Chengdu city. After half a year, we analysed the effects of community-based intervention on hypertension.</p><p><b>RESULTS</b>General means of both SBP and DBP remarkably decreased (P < 0.05) with SBP remarkably decreased by 8.94 mm Hg while DBP decreased by 3.61 mm Hg. After interfered by the model, people whose blood pressure were above normal had a remarkable decrease than before by 14.06 mm Hg (P < 0.05). Rates of hypertension being under control increased from 38.39% to 64.29% (P < 0.001). Rates of awareness on fatness and heredity in hypertensive patients were increasing from 58.06% to 74.19% (P < 0.001). Rate of awareness on risk factors for hypertension was also higher than that of 6 months back (P < 0.05).</p><p><b>CONCLUSION</b>The model of management by signing contract between general practitioners and patients in community, proved to be a successful way in the treatment to control high blood pressure.</p>