医院、社区协调共管模式对社区高血压规范管理及防治效果的评价

发布时间：2018-06-18 06:26

本文选题：高血压 + 医院、社区协调共管模式　；参考：《广东医学》2017年20期

【摘要】：目的评价医院、社区协调共管模式对社区高血压的管理防治效果,探讨社区高血压的优化防治管理模式。方法在社区范围内随机抽取符合标准的高血压患者256例,并随机分为观察组和对照组,每组128例。观察组以医院、社区协调共管模式进行管理,发挥医院专业技术、管理优势和医院、社区资源整合优势,分析社区高血压管理防治存在的突出问题和制约因素,解决社区防治的重点、难点问题,实施优化防治管理。对照组由社区医护管理人员以常规模式进行管理,比较两组管理、防治效果。结果观察组干预后的规范管理率及血压控制率较基线值均明显提高(分别为:98.44%vs 39.06%;85.16%vs 32.03%;均P0.05),也明显高于对照组(分别为:98.44%vs 42.19%;85.16%vs 38.28%;均P0.05);观察组干预后的高血压生活质量评分较基线值显著提高(P0.01),也显著高于对照组(P0.01);观察组干预后的体质指数、平均收缩压及平均舒张压比基线值均显著降低(P0.01),各指标也显著低于对照组(P0.01)。结论医院、社区协调共管的优化管理模式能明显提高社区高血压管理、防治水平。
[Abstract]:Objective to evaluate the effect of coordinated management and management of hypertension in hospital and community, and to explore the optimal management model of hypertension in community. Methods 256 patients with hypertension were randomly divided into observation group and control group with 128 cases in each group. The observation group was managed by the mode of hospital and community coordination and co-management, giving play to the hospital's professional technology, management advantages and the advantages of integrating hospital and community resources, and analyzing the outstanding problems and restrictive factors of community hypertension management and prevention and treatment. Solve the key and difficult problems of community prevention and control, and implement optimized prevention and control management. The control group was managed by community health care administrators in the routine mode, and the control effect was compared between the two groups. Results after intervention, the standardized management rate and blood pressure control rate in the observation group were significantly higher than the baseline value (respectively: 98.44 vs 39.06, 85.165 vs 32.03; all P 0.05, respectively, and significantly higher than those in the control group, respectively) (w 98.44vs 42.195.16 vs 38.28; all P 0.055.The quality of life of hypertension after intervention in the observation group was also significantly higher than that in the control group (P < 98.44 vs 42.195.16 vs 38.28, respectively); the quality of life in the observation group was evaluated after intervention. Compared with the baseline value, the score was significantly higher than that of the baseline value, and also significantly higher than that of the control group, the body mass index of the observation group after intervention was also significantly higher than that of the control group. The baseline values of mean systolic blood pressure and mean diastolic pressure ratio were significantly lower than that of the control group (P 0.01) and the indexes were also significantly lower than those of the control group (P 0.01). Conclusion the optimized management mode of community coordination and management in hospital can obviously improve the management and prevention of hypertension in the community.
【作者单位】：三亚市人民医院健康管理中心;甘肃省人民医院健康管理中心;三亚市人民医院心血管内科;三亚市河东社区卫生服务中心;三亚市金鸡岭社区卫生服务中心;
【基金】：海南省应用技术研发与示范推广专项项目(编号:ZDXM2015086) 国家(省)重点科技项目三亚市配套项目(编号:2016PT01)
【分类号】：R544.1

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