王珺 虞珏 朱孔利

【摘要】 目的：了解現有社区高血压管理方式下高血压的防治效果及患者的满意度，探索管理措施中有待提高的地方。方法：2019年8-12月，在南通市崇川区3个社区随机选择250例社区老年高血压患者作为研究对象，设计调查表主要包括一般情况、高血压患者生活习惯与认知、社区高血压管理与指导情况等项目对研究对象展开调查。结果：血压控制正常患者年龄、性别与血压控制异常患者比较，差异均有统计学意义（P<0.05）。血压控制正常患者饮食用盐量及咸食摄入、高盐饮食与高血压关系认知、高血压病友情况与血压控制异常患者比较，差异均有统计学意义（P<0.05）。社区高血压管理与指导措施中，患者满意度依次为定期血压监测为92.4%，选药用药指导为79.1%，治疗方案调整与指导为75.6%，生活方式包括用饮食用盐量指导为74.2%，运动锻炼指导为69.3%，心理健康指导为67.1%。血压控制正常患者定期血压监测情况、饮食用盐指导、运动锻炼指导、选药用药指导、治疗方案调整与指导与血压控制异常患者比较，差异均有统计学意义（P<0.05）。结论：社区老年高血压控制情况与社区高血压管理指导方法密切相关，社区高血压管理工作需要管理人员优化教育管理手段、细化管理与考核方法，寻找更合适的细节量化控制途径。

【关键词】 高血压 控制 社区管理与指导

Research and Exploration on Management Situation of Hypertension Patients in Urban Community/WANG Jun， YU Jue， ZHU Kongli. //Medical Innovation of China， 2021， 18（24）： -177

[Abstract] Objective： To investigate the prevention and treatment effect of hypertension and the satisfaction of patients under the current community hypertension management mode， and explore the areas to be improved in the management measures. Method： From August to December 2019， 250 elderly patients with hypertension were randomly selected from three communities in Chongchuan District of Nantong city. The questionnaire was designed to investigate the subjects， including general situation， living habits and cognition of patients with hypertension， community hypertension management and guidance.The questionnaire mainly included general situation， living habits and cognition of hypertension patients， community hypertension management and guidance. Result： There were significant differences in age and sex between patients with normal blood pressure control and patients with abnormal blood pressure control （P<0.05）. There were significant differences in salt consumption and salt intake， cognition of the relationship between high salt diet and hypertension and status of hypertension patients between patients with normal blood pressure control and patients with abnormal blood pressure control （P<0.05）. In the community hypertension management and the instruction measure， patients’ satisfaction degree： regular blood pressure monitoring was 92.4%， medication instruction was 79.1%， treatment plan adjustment and instruction was 75.6%， life style： salt content instruction was 74.2%， exercise instruction was 69.3%， mental health guidance was 67.1%. There were significant differences in regular blood pressure monitoring， dietary salt guidance， exercise guidance， drug selection and medication guidance， treatment plan adjustment and guidance between patients with normal blood pressure control and patients with abnormal blood pressure control （P<0.05）. Conclusion： The control of hypertension in elderly in community is closely related to the management and guidance of hypertension in community， community hypertension management needs managers to optimize the means of education and management， refine the management and assessment methods， and find more appropriate quantitative control of details.

[Key words] Hypertension Control Community management and guidance

First-author’s address： Nantong Health Vocational and Technical College， Nantong 226001， China

doi：10.3969/j.issn.1674-4985.2021.24.043

高血压是我国患病人数最多的慢性病之一，目前患者超过2.7亿，是城乡居民心脑血管疾病死亡的最重要的危险因素，严重影响人民健康和经济社会发展。……