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目的:探讨社区健康管理在高血压病控制中的应用效果。方法:选取鹤山市沙坪街道六大社区医院已确诊的300例高血压病患者作为研究对象,采取分层抽样,随机分成管理组150例和对照组150例,分别对其实施为期1年的健康管理干预和常规的高血压管理,对比高血压病患者的健康知识知晓率、血压控制率、血压均值和行为危险因素。结果:管理组干预1年后与对照组相比较,管理组患者的高血压相关知识知晓率和控制率均有显著提高(P<0.05),管理组的收缩压和舒张压也显著降低(P<0.05),其危险因素如不合理膳食、缺乏锻炼、高血脂和精神紧张也有显著下降(P<0.05)。结论:社区健康管理可以有效降低高血压病患者的血压水平,提高血压控制率,改善患者的危险因素。
Objective: To explore the effect of community health management in the control of hypertension. Methods: A total of 300 hypertensive patients diagnosed in six community hospitals in Shaping Sub-district of Heshan City were selected as study subjects. The patients were randomly divided into 150 cases in control group and 150 cases in control group, Management interventions and routine hypertension management were compared with those of hypertensive patients in terms of awareness of health knowledge, rate of blood pressure control, mean blood pressure, and behavioral risk factors. Results: Compared with the control group, the knowledge rate and control rate of hypertension-related knowledge in the management group were significantly increased (P <0.05) and the systolic and diastolic blood pressure in the management group were significantly decreased (P <0.05). The risk factors such as unreasonable diet, lack of exercise, hyperlipidemia and stress also decreased significantly (P <0.05). Conclusion: Community health management can effectively reduce the blood pressure in hypertensive patients, improve blood pressure control and improve the risk factors of patients.