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【目的】探讨高血压患者强化管理的MUST新模式。【方法】高血压强化管理MUST模式与常规管理模式进行比较,以提高患者药物治疗、生活方式、血压监测、防治知识四个方面的依从性。对210例高血压患者分为两组,各105例均进行为期1年的观察。干预组应用MUST模式管理,对照组进行常规管理,分析比较两组血压控制和依从性的改进情况。【结果】观察后干预组在SBP、DBP、BMI、TC、TG、LDL-C等指标与对照组比较均降低。1年随访结束时,干预组患者完全从医比例为76.4%,显著高于对照组;完全不从医比例仅为8.9%,而对照组基本恢复到分组时水平。对药物治疗、生活方式、血压监测、防治知识四个分项依从性的分析,发现进入MUST强化管理模式的干预组上述四项指标依从性均得到显著改善,并且均分别优于对照组。【结论】MUST模式强调家属参与高血压教育和管理的重要性,能够显著提高患者血压的控制率和依从性。
【Objective】 To explore a new MUST model for intensive management of hypertensive patients. 【Methods】 Hypertension management (MUST) mode was compared with conventional management mode to improve the compliance of four aspects of drug therapy, life style, blood pressure monitoring and prevention knowledge. 210 patients with hypertension were divided into two groups, each of 105 cases were observed for a period of 1 year. MUST model management intervention group, the control group for routine management, analysis and comparison of two groups of blood pressure control and compliance improvements. 【Results】 The indexes of SBP, DBP, BMI, TC, TG, LDL-C in the post-intervention group were all lower than those in the control group. At the end of 1-year follow-up, the complete medical attendance in the intervention group was 76.4%, significantly higher than that in the control group; the complete absence of medical treatment was only 8.9%, while the control group recovered to the grouping level. Based on the analysis of four sub-regulations on drug treatment, life style, blood pressure monitoring and prevention knowledge, it was found that the compliance of the four indicators in the intervention group entering the MUST intensive management mode was significantly improved, and were superior to the control group respectively. 【Conclusion】 The MUST model emphasizes the importance of family members participating in hypertension education and management, and can significantly improve the control rate and compliance of patients’ blood pressure.