任寰 石凯兵 金鑫 杜鹤

【摘要】 目的：探究与观察中山市监管场所治疗管理模式对强制戒毒的高血压患者血压的影响。方法：选取2017年3月-2018年3月100例强制戒毒的高血压患者为研究对象，将其依据随机数字表法分为对照组和观察组，每组50例。对照组进行常规高血压管理，观察组则进行高血压管理档案建立及强化督导治疗干预。比较两组干预4、8周后的高血压控制效果;比较两组干预前及干预4、8周后的疾病认知度及治疗依从性;比较两组的相关并发症发生情况。结果：干预前，两组的疾病认知度及治疗依从性比较，差异均无统计学意义（P>0.05）;干预4、8周后，观察组的高血压控制效果、疾病认知度及治疗依从性均显著优于对照组，差异均有统计学意义（P<0.05）。观察组的相关并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。结论：高血压管理档案建立及强化督导治疗干预对强制戒毒的高血压患者的血压控制效果较好，对患者的疾病认知度和治疗依从性均有更为积极的影响，且可降低相关并发症发生率，因此临床应用价值较高。

【关键词】 中山市监管场所治疗管理模式 强制戒毒 高血压

[Abstract] Objective： To investigate and observe the influence of treatment management mode in supervision place of Zhongshan City for blood pressure of hypertensive patients with compulsory detoxification. Method： A total of 100 hypertensive patients with compulsory detoxification from March 2017 to March 2018 were chosen as the study objects， they were divided into control group and observation group according to the random number table， 50 cases in each group. The control group was with routine hypertension management， the observation group was with establishment of hypertension management files and treatment by strengthening supervision. The effect of hypertension control after 4 and 8 weeks of intervention was compared between the two groups， disease awareness and treatment compliance before and after 4， 8 weeks of intervention were compared between the two groups， the incidence of related complications was compared between the two groups. Result： Before intervention， there were no statistically significant differences in disease awareness and treatment compliance between the two groups （P>0.05）; after intervention 4 and 8 weeks， the hypertension control effect， disease awareness and treatment compliance of the observation group were significantly better than those of the control group， with statistically significant differences （P<0.05）. The incidence of related complications in the observation group was significantly lower than that in the control group， with statistically significant difference （P<0.05）. Conclusion： The establishment of hypertension management files and the intensification of supervision and treatment intervention have a better effect on blood pressure control in hypertensive patients with compulsory drug withdrawal， have a more positive impact on the patients disease awareness and treatment compliance， and can reduce the incidence of related complications， so the clinical application value is high.

強制戒毒人员作为较为特殊的群体，社会各界对其各方面的重视程度均较高。而较多研究显示，强制戒毒人员中较多伴发慢性疾病，其中高血压是在本类人群中发生率较高的一类慢性病，严重影响到其机体健康乃至生命安全[1-2]。以往对于强制戒毒高血压患者的研究虽可见，但是在血压控制效果方面差异仍普遍存在，而既往的治疗干预方式对于患者的治疗态度及血压控制效果存在诸多不足，仍有待进一步提升[3-4]。本研究就不同管理模式对强制戒毒的高血压患者血压的影响进行探究，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年3月-2018年3月100例强制戒毒的高血压患者为研究对象，纳入标准：年龄≥18岁且<65岁;男性;非同日3次测量血压，收缩压≥140 mm Hg和/或舒张压≥90 mm Hg。排除标准：继发性高血压，或被监管人在监管场所外已确诊原发性高血压;存在其他干扰因素，如紧张、焦虑、疼痛、急性疾病、应激等。将其依据随机数字表法分为对照组和观察组，每组50例。本研究经伦理委员会审批。

1.2 方法 （1）对照组进行常规高血压管理，由监所内原有医生管理，根据患者血压情况进行用药，并进行用药依从性方面的评估与监管。（2……