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目的探讨社区用药管理在老年高血压患者中的效果作用。方法收集2014年2月-2015年9月东莞市长安镇社区卫生服务中心收治的62例老年高血压患者作为研究对象,均行社区用药管理,比较管理前后的临床效果。结果管理后,完全依从50例、部分依从12例,服药依从率为92.54%,与管理前的80.60%相比显著升高,差异有统计学意义(P<0.05);管理前,用药管理水平评分为(29.67±2.01)分,管理后评分为(38.12±1.34)分,管理前后数值比较差异有统计学意义(P<0.05);管理后,血压控制率为89.55%,明显高于管理前的76.12%,差异有统计学意义(P<0.05)。结论社区用药管理在老年高血压患者中具有较高的应用效果,在提高患者服药依从性、用药管理水平以及控制患者血压水平方面有显著的临床价值,值得临床借鉴及推广。
Objective To explore the effect of community medication management in elderly hypertensive patients. Methods Sixty-two elderly hypertensive patients admitted to Chang’an Community Health Service Center in Dongguan City from February 2014 to September 2015 were selected as study subjects. All patients underwent community drug administration and the clinical effects were compared before and after management. After management of the results, 50 cases were totally obeyed and 12 cases were partially obeyed, the medication compliance rate was 92.54%, which was significantly higher than that before management (80.60%), the difference was statistically significant (P <0.05) (29.67 ± 2.01) and post-management score (38.12 ± 1.34) respectively. There was significant difference between before and after management (P <0.05). After administration, the blood pressure control rate was 89.55%, which was significantly higher than that before management Of 76.12%, the difference was statistically significant (P <0.05). Conclusion Community-based drug administration has a high application effect in elderly patients with hypertension, and has significant clinical value in improving patient compliance, medication management and blood pressure control, which is worthy of clinical reference and promotion.