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目的了解社区高血压病患者的治疗情况及控制效果,为有效治疗高血压提供依据。方法抽取泸州市2个社区部分420例35~69岁高血压患者作为研究对象,采用现况调查进行问卷调查和体检。结果在本组420例高血压患者中,坚持每天服药治疗率为69.05%,血压控制率为33.1%。参加社区高血压健康管理的患者在药物依从性、定期测量血压、控制情绪的比例均高于未参加者(P<0.05)。严格坚持天天服药的患者血压控制率为40.3%,高于其他患者,差异有统计学意义(χ~2=26.12,P<0.05)。采用药物治疗与非药物治疗相结合的血压控制率为42.8%,高于单纯采用每天药物治疗28.8%和非药物治疗19.2%,差异有统计学意义(χ~2=13.10,P<0.01)。结论社区高血压病患者治疗情况不容乐观,血压的控制率低。应加强社区高血压病的健康管理,增强患者的自我管理能力,提高血压的控制率,减少高血压并发症的发生。
Objective To understand the treatment and control effect of community-based hypertensive patients and provide basis for effective treatment of hypertension. Methods A total of 420 hypertensive patients from 35 to 69 years old in 2 communities in Luzhou City were selected as the research object. The current situation survey was used to conduct questionnaire and physical examination. Results In this group of 420 cases of hypertensive patients, adhere to the daily medication rate was 69.05%, blood pressure control rate was 33.1%. Patients who participated in the community health management of hypertension had a higher rate of drug compliance, regular measurement of blood pressure, and mood control than non-participants (P <0.05). Strictly adhere to daily medication in patients with blood pressure control was 40.3%, higher than other patients, the difference was statistically significant (χ ~ 2 = 26.12, P <0.05). The rate of blood pressure control combined with drug treatment and non-drug treatment was 42.8%, which was higher than that of 28.8% and non-drug treatment of 19.8%, respectively. The difference was statistically significant (χ ~ 2 = 13.10, P <0.01). Conclusion The treatment of patients with hypertension in the community is not optimistic, low blood pressure control. Should strengthen the community health management of hypertension, enhance patient self-management ability, improve blood pressure control rate, reduce the occurrence of hypertension complications.