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目的:探索适合中国国情的农村社区高血压的管理模式。方法:以村为单位随机抽取301例高血压患者为实验组,261例高血压患者为对照组。实验组采用3级网络系统管理模式,对照组按常规3级管理模式运作,并进行了为期30个月的干预随访。结果:实验组管理率、治疗率、控制率分别为99%、92%、88%,对照组分别为50.01%、46.12%、28.01%,2组比较差异有统计学意义(均P<0.01)。干预后2组血压均较干预前下降,实验组下降更明显,2组比较差异有统计学意义。干预后2组高血压相关知识知晓率均较干预前有所提高,实验组提高更明显,2组比较差异有统计学意义。结论:3级网络系统的管理模式优于常规3级管理模式,更适合在农村开展。
Objective: To explore the management mode of hypertension in rural community that suits China’s national conditions. Methods: A total of 301 hypertensive patients were selected as experimental group and 261 hypertensive patients as control group. The experimental group adopted the three-level network system management mode, the control group operated according to the conventional three-level management mode, and conducted a 30-month intervention period. Results: The management rate, treatment rate and control rate in the experimental group were 99%, 92% and 88% respectively, and those in the control group were 50.01%, 46.12% and 28.01% respectively. There was significant difference between the two groups (all P <0.01) . After intervention, the blood pressure of the two groups decreased compared with that before the intervention, and the decline in the experimental group was more obvious. The difference between the two groups was statistically significant. After intervention, the awareness rate of hypertension-related knowledge in both groups was higher than that before intervention, the experimental group increased more obviously, and the difference between the two groups was statistically significant. Conclusion: The management mode of the 3-level network system is superior to the conventional 3-level management mode, which is more suitable for rural areas.