老年高血压合并糖尿病实施社区规范管理效果分析.docVIP

GIP Chinese General Practice 2011年6月第14卷第6B期 ·1943 · · 慢 病 管 理 · 老年高血压合并糖尿病实施社区规范管理效果分析 郑 颖 【摘要】 目的 通过对社区门诊老年高血压合并糖尿病患者的健康管理，探讨老年常见慢性病的社区管理方 式。方法 采取整群抽样方法随机选取辖区内90例在社区站建立健康档案的老年高血压合并糖尿病患者，采用配对设 计分为实验组和对照组，实验组除给予药物治疗外还采取健康教育、膳食运动指导、定期随访等综合干预；对照组为 单纯药物治疗组，不加其他干预措施。随访1年，比较管理前后血压、血糖控制情况和健康行为的变化。 结果 综合 干预后实验组定期随访、规律服药、低盐饮食及参加运动的患者比例均明显高于对照组 (P0.05); 实验组收缩压和 舒张压分别为(133.4±8.9) mm Hg 和(77.3±9.4) mm Hg, 明显低于干预前的(145.8±9.5) mm Hg和(87.8± 9.7)mm Hg(P0.05); 平均空腹血糖 (FPG) 和 2h 餐后血糖(2 hPG) 水平与对照组干预后差异均有统计学意义 (P0.05)。 结论 对社区老年高血压合并糖尿病患者进行规范管理，可以提高血压、血糖控制率，延缓心脑血管病 的发生。 【关键词】 高血压；糖尿病；健康教育 【中图分类号】 R544.1 R587.1 【文献标识码】 A 【文章编号】1007-9572(2011)06-1943- 03 E ffectiveness Analysis of Standard Management on Elderly Hypertension with Diabetics in Community ZHENG Ying. Guangwai Community Health Center in Beijing,Beijing 100055,China 【Abstract] Objective To investigate the management of common chronic disease in community hospital through health management of elderly patients with hypertension and diabetes. Methods 90 patients with hypertension and diabetes who estab- lished health records in the community were randomly selected. Patients were divided into the experimental group and control group by paired design. The experimental group was given medication as well as health education, diet exercise guidance,regu- lar follow -up and other comprehensive intervention; the control group was only given medication treatment, without other inter- ventions. After one year follow -up, blood pressure,glycemic control and health behavior change between the two groups before and after management were compared. Results After comprehensive intervention, patients in the experimental group were fol- lowed up regularly. The proportion of taking regular medication, low - salt diet and participation in sports were significantly high- er in the experimental group than in the control group(P0.05); the systolic pressure(133.4±8.9)mm Hg and diastolic pressure(77.3±9