Effect of standardized management of hypertension patients in community / 中国基层医药

ABSTRACT

Objective To investigate the effect of standardized management of hypertension patients in community.Methods Permanent residents aged 50-60 in the community were selected as the survey subjects from January 2016 to January 2017.After the standardized training of professional doctors in the First People's Hospital of Huainan,a unified investigation was carried out.A total of 160 qualified hypertensive patients were selected ,including 91 males and 69 females.According to the random number table method ,the patients were divided into the control group and the intervention group.The control group was given routine community nursing ,and the intervention group was given standardized community team management ,and the intervention period was 1 year.The changes of blood pressure and awareness rate before and after intervention were compared and analyzed .Results Through standardized management of the team , the awareness rate, medication rate and control rate (85.0%,77.5%,47.5%) of the control group were higher than those before management (57.5%,53.8%,28.8%).The ＂three rates＂of hyperten-sion patients in intervention group (100.0%,92.5%,68.8%) were higher than those before management (58.8%, 56.2%,31.3%).Moreover,the awareness rate,medication rate and control rate of the intervention group were signifi-cantly higher than those of the control group (χ2 ＝12.973,7.059,7.421,all P＜0.05).Meanwhile,the DBP and SBP of the intervention group were significantly lower than those of the control group [ DBP(98.7 ±16.4) mmHg vs. (78.5 ±11.7)mmHg,t＝5.42,P＜0.05;SBP(161.2 ±10.6)mmHg vs.(130.6 ±12.1)mmHg,t＝-5.31,P＜0.05].Conclusion The effect of standardized management of hypertension patients in community is better than traditional community nursing,which can effectively reduce blood pressure and improve the awareness rate ,and is suitable for clinical application.