Effect of health management mode of chronic disease on management of hypertension patients / 中国基层医药

ABSTRACT

Objective To analyze the effect and clinical value of the health management model of hypertension and chronic diseases developed by the health management center.Methods From June 2015 to June 2018,550 patients with hypertension were selected in Taizhou Central Hospital and Taizhou Hospital .According to the management of chronic health point,the patients were divided into two groups ,with 275 cases in each group.The patients before the chronic disease health management (from June 2015 to January 2017) were selected as control group ,and the patients after implementing the health management of chronic disease (from February 2017 to June 2018) were selected as observation group.The standard blood pressure and blood fat were compared between the two groups .Results The compliance rate of blood pressure in the observation group was 61.09%,which was significantly higher than 34.91%in the control group,and the difference between the two groups was statistically significant (χ2 ＝6.012,P＜0.05). After intervention,the triglycerides [( 1.47 ±0.21) mmol／L], total cholesterol [( 4.61 ±0.51 ) mmol／L], and low－density lipoprotein [(2.76 ±0.22)mmol／L] in the observation group were significantly different with those in the control group ( t ＝5.991,6.398,8.128,all P＜0.05).After intervention,the body mass index [( 24.32 ± 1.88)kg／m3] and waist circumference [(83.26 ±6.03) cm] in the observation group were significantly different with those in the control group (t＝5.928,7.489,all P＜0.05).Conclusion The model of health management for chronic diseases developed by the health management center can improve blood pressure and blood lipids of people who have physical examination ,and provide effective health guidance services for patients with hypertension ,which is worthy of further promotion in clinical practice.