80例社区老年高血压患者规范化管理的效果分析.docVIP

精品论文 参考文献 80例社区老年高血压患者规范化管理的效果分析 付文军 　　（攀枝花东区瓜子坪社区卫生服务中心 四川 攀枝花 617025） 　　【摘要】 目的：观察规范化管理对老年原发性高血压患者依从性和降压的临床效果。方法：选取接诊的原发性老年高血压患者80例，随机分为观察组和对照组各40例，两组患者均采用常规管理，观察组在此基础上进行遵医嘱服用降压药、合理膳食、戒烟限酒、正确监测血压的规范化管理。结果：患者规范化管理后6个月评价，观察组患者依从性明显好于对照组，差异有统计学意义（P＜0.05）；观察组收缩压和舒张压下降幅度较对照组更明显，差异有统计学意义（P＜0.05）。结论：社区规范化管理能够提高社区老年高血压患者服药依从性，很好的控制血压，值得推广。 　　【关键词】 社区；高血压；老年；规范化管理 　　【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752（2016）24-0048-02 　　 　　The effect of the standardized management of 80 cases of senile hypertension patients in community analysis 　　Fu Wenjun. Guaziping Community Health Service Center of Panzhihua，Sichuan Province, Panzhihua 617025, China 　　【Abstract】 Objective To observe the standardization management of elderly hypertensive patients compliance and the clinical effect of decompression. Methods Select accepts the senile hypertension patients 80 cases, were randomly divided into observation group and control group 40 cases, two groups of patients with normal management, group on the basis of medicine according to doctors advice, reasonable diet, quit cigarettes, right of monitoring blood pressure management. Results The patients 6 months after management evaluation, patient adherence observation group was obviously better than the control group, the difference was statistically significant (P lt; 0.05); Observation group of systolic and diastolic blood pressure decreased more significantly than control group, the difference was statistically significant (P lt; 0.05). Conclusion The standardized management of community elderly hypertension patients in community can improve compliance, good control of blood pressure, is worth promoting. 　　【Key words】 The community; High blood pressure; Old age; Standardization management 　　高血压是当今世界上流行最广泛的疾病之一，同时又是引起脑卒中、冠心病和肾功能衰竭的重要危险因素。随着我国人口老龄化进程的加快，老年高血压发病率逐年增加，其血压的有效控制除选择有效降压药外，还需社区规范化管理。国内外经验表明，控制高血压最有效的方法是社区防治。我国高血压社区综合干预实施者主要是全科医生和社区护士[1]，他们在高血压防治中起重要的作用。高血压患者生活在社区，大多数不需要长时间在医院接受治疗，因此高血压患者在社区规