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目的了解社区家庭健康评估及系统管理对高血压患者血压变化情况。方法对洛阳市西工区常住高血压患者进行家庭健康评估,随机选择观察20例高血压病病人,除常规药物治疗、运动指导、戒烟限酒及高血压病健康教育,并对其进行系统管理及做家庭健康评估,至少1周查一次血压(有需要者1周查多次)。根据血压及时调整降压药物。对照组(1)20例也进行药物治疗、健康教育,但不进行系统化管理及家庭健康评估。对照组(2)20例只进行药物治疗不进行健康教育及系统化管理及家庭健康评估。结果3月后系统管理组及对照组(1)较对照组(2)血压、健康知识知晓率、遵医行为、血压自我监测情况明显改善,系统管理组较对照组(2)血压、血脂、健康知识知晓率、遵医行为、血压自我监测情况明显改善。结论高血压病社区系统化管理及家庭健康评估对高血压病患者血压控制是有效的管理方法,值得推广。
Objective To understand the community home health assessment and system management of hypertension patients with changes in blood pressure. Methods The family health assessment was carried out on patients with hypertension in west area of Luoyang City. Twenty patients with essential hypertension were randomly selected and observed for their health management, routine medication, exercise instruction, smoking cessation and alcohol restriction and hypertensive disease management. Do a family health assessment, at least one week to check the blood pressure (those who need a week to check multiple times). According to blood pressure promptly adjust antihypertensive drugs. Control group (1) 20 patients also conducted drug treatment, health education, but did not conduct systematic management and family health assessment. Control group (2) 20 cases were only treated with medication without health education and systematic management and family health assessment. Results After 3 months, the system management group and the control group (1) compared with the control group (2), the awareness rate of blood pressure, health knowledge, compliance behavior and self-monitoring of blood pressure were significantly improved. Health knowledge awareness, compliance, and self-monitoring of blood pressure significantly improved. Conclusion Hypertensive community systematic management and family health assessment are effective management methods for hypertension control in patients with hypertension, which is worth promoting.