Objective@#To evaluate the effect of Triangle hierarchical management among
community patients with
hypertension, so as to provide insights into the improvements of standardized
hypertension management.@*
Methods@#
Patients with newly diagnosed
hypertension from 2
community health service centers in Qiantang District of Hangzhou City by the end of 2020 were randomly assigned to the conventional group and the Triangle group.
Patients in the conventional group were given
health management services according to the requirements of basic
public health service standard for one year, while
patients in the Triangle group were given Triangle hierarchical management. The
blood pressure,
self-management behaviors,
treatment compliance,
smoking,
alcohol consumption and
exercise were collected using the
self-management behavior scale,
treatment compliance scale and
self-designed
questionnaires, and were compared before and after intervention with
analysis of covariance and generalized estimation equations.@*Results@#Totally 200
patients with
hypertension were recruited, including 100
patients in the conventional group and 100
patients in the Triangle group. There were no significant differences between the two groups before implementation of interventions in terms of
gender, age,
educational level or
occupation (P>0.05). The reduction in
blood pressure, increase in the score of
treatment,
diet,
exercise and living
habitat management and the total score of
self-management behaviors, increase in the score of adherence to medication regimens, daily living management
behaviors, smoking and
alcohol consumption preference and the total score of
treatment compliance, and increase in the number of
patients with normal standard of
quitting smoking, quitting
alcohol consumption,
exercise and
blood pressure were significantly higher in the Triangle group than in the conventional group after intervention (P<0.05). @*Conclusions @#Triangle hierarchical management may increase the
treatment compliance, improve the
self-management behavior and facilitate
hypertension control among hypertensive
patients, which may be popularized for
health management among
community patients with
hypertension.