高血压管理卡在老年高血压病人中的应用价值
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摘要
目的:探讨高血压管理卡在老年高血压病人中的应用价值。方法:选择因脑出血收治,经抢救后出院的高血压病人138例,随机分为观察组70例与对照组68例。2组病人均给予常规治疗,观察组同时根据病人血压和危险因素、服药情况等,设计"高血压管理卡",采用高血压管理卡进行干预。比较2组病人干预12个月后的预后情况、相关指标、高血压控制情况和生活习惯。结果:随访12个月,观察组预后情况明显优于对照组(P<0.01)。2组干预后收缩压、舒张压、尿微量白蛋白、总胆固醇和血糖均低于干预前(P<0.05～P<0.01),且干预后观察组病人的收缩压、舒张压、低密度脂蛋白、空腹血糖和胱抑素C水平均低于对照组干预后(P<0.05)。对照组干预前后的高血压知识知晓率、体质量控制率、规律服药率和高血压控制率差异均无统计学意义(P>0.05);观察组干预后以上各项控制率均明显高于干预前(P<0.01),且均高于对照组干预后(P<0.05)。对照组干预前后的生活习惯差异均无统计学意义(P>0.05);观察组干预后的戒烟酒、减少油脂摄入、体育运动、遵医嘱服药和测血压率均高于干预前(P<0.05～P<0.01),且戒烟酒、减少钠盐和油脂摄入、体育运动、遵医嘱服药和测血压率均高于对照组干预后(P<0.05)。结论:高血压管理卡对控制老年高血压病人血压,改善病人生活习惯有较好作用,值得推广。
Objective:To investigate the application value of hypertension management card in elderly patients with hypertension.Methods:One hundred and thirty-eight patients with hypertension were randomly divided into the observation group(70 cases) and control group(68 cases).Two groups were treated with routine method,and the observation group was additionally intervened using "hypertension management card" according to the hypertension and risk factors and medication.The prognosis,related indicators and hypertension control between two groups were compared after 12 months of intervention.Results:The prognosis in observation group was significantly better than that in control group after 12 months of following-up(P<0.01).The levels of blood pressure(SBP and DBP),urine albumin,total cholesterol and blood glucose in two groups after intervention were lower than those before intervention(P<0.05 to P<0.01).The levels of blood pressure(SBP and DBP),low-density lipoprotein,blood glucose and cystatin C in observation group were lower than those in control group after intervention(P<0.05).The differences of the hypertension-related health knowledge,body weight control rate,rate of regular medication and blood pressure control in control group between before and after intervention were not statistically significant(P>0.05).The control rates of all indictors in observation group were significantly higher than that before intervention(P<0.01),and in control group after intervention(P<0.05).The difference of the living habit in control group between before and after intervention was not statistically significant(P>0.05).The quit ting smoking and wine,reducing oil and fat intake,sports,compliance with the prescribed medicine and examining blood pressure rate in observation group after intervention were higher than those before intervention(P<0.05 to P<0.01),and higher than those in control group after intervention(P<0.05).Conclusions:The effects of hypertension management card on controlling blood pressure and improving the living habit are good and effective,which is worthy of promotion.
Objective:To investigate the application value of hypertension management card in elderly patients with hypertension.Methods:One hundred and thirty-eight patients with hypertension were randomly divided into the observation group(70 cases) and control group(68 cases).Two groups were treated with routine method,and the observation group was additionally intervened using "hypertension management card" according to the hypertension and risk factors and medication.The prognosis,related indicators and hypertension control between two groups were compared after 12 months of intervention.Results:The prognosis in observation group was significantly better than that in control group after 12 months of following-up(P<0.01).The levels of blood pressure(SBP and DBP),urine albumin,total cholesterol and blood glucose in two groups after intervention were lower than those before intervention(P<0.05 to P<0.01).The levels of blood pressure(SBP and DBP),low-density lipoprotein,blood glucose and cystatin C in observation group were lower than those in control group after intervention(P<0.05).The differences of the hypertension-related health knowledge,body weight control rate,rate of regular medication and blood pressure control in control group between before and after intervention were not statistically significant(P>0.05).The control rates of all indictors in observation group were significantly higher than that before intervention(P<0.01),and in control group after intervention(P<0.05).The difference of the living habit in control group between before and after intervention was not statistically significant(P>0.05).The quit ting smoking and wine,reducing oil and fat intake,sports,compliance with the prescribed medicine and examining blood pressure rate in observation group after intervention were higher than those before intervention(P<0.05 to P<0.01),and higher than those in control group after intervention(P<0.05).Conclusions:The effects of hypertension management card on controlling blood pressure and improving the living habit are good and effective,which is worthy of promotion.
引文
[1] 王文,隋辉,陈伟伟,等.中国高血压防治工作的进步与展望[J].中华高血压杂志,2016,24(1):5.
[2] 张黎明.综合干预对老年高血压病人治疗效果及治疗依从性的影响[J].海南医学院学报,2016,22(14):1512.
[3] 王小娟,顾园园,陈桂香,等.微信健康教育群对高血压合并脂肪肝病人疗效及治疗依从性的影响[J].实用老年医学,2016,3(24):1003.
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[7] AULIKKI N,JAAKKO T,THOMAS EK,et al.Cost-efFeetiveness of the North Karclia hypertension program[J].Medical Carc,1986,24(3):767
[8] 张金武.老年高血压病人动态血压参数与缺血性脑卒中的相关性[J].中国实用神经疾病杂志,2016,19(6):72.
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[10] 刘小立,彭绩,周海滨,等.深圳市慢性非传染性疾病及其相关危险因素流行病学研究[M].北京:人民卫生出版社,2009.
[11] 王德群,宋来君,郭付有,等.老年高血压丘脑出血破入脑室50例临床分析[J].中国实用神经疾病杂志,2016,19(4):89.
[12] 王萍,闻立芳.高血压俱乐部健康促进效果评价[J].中国健康教育,2016,32(3):269.
[13] 王超,赵军芳,冯玲莉,等.高血压病人认知功能现况分析[J].中国慢性病预防与控制,2016,26(4):266.
[14] 张丹,陈鸣声,李亚运,等.西部农村地区高血压病人随访服务利用研究[J].南京医科大学学报(社会科学版),2016,5(1):5.
[15] 吴隐雄,邓金龙,吴东峰,等.氨氯地平与培哚普利对老年高血压病人靶器官保护作用的对比研究[J].广西医学,2016,38(2):178.
[2] 张黎明.综合干预对老年高血压病人治疗效果及治疗依从性的影响[J].海南医学院学报,2016,22(14):1512.
[3] 王小娟,顾园园,陈桂香,等.微信健康教育群对高血压合并脂肪肝病人疗效及治疗依从性的影响[J].实用老年医学,2016,3(24):1003.
[4] 李瑞杰.中国高血压防治指南 (2010 年修订版) 重点内容介绍[J].中国临床医生,2012,40(2):69.
[5] 史载祥.对《中国高血压防治指南2010》的质疑与建议[J].中医杂志,2016,57(11):986.
[6] 王文,隋辉,陈伟伟.《中国高血压基层管理指南》要点解读[J].中国实用内科杂志,2015,35(4):317.
[7] AULIKKI N,JAAKKO T,THOMAS EK,et al.Cost-efFeetiveness of the North Karclia hypertension program[J].Medical Carc,1986,24(3):767
[8] 张金武.老年高血压病人动态血压参数与缺血性脑卒中的相关性[J].中国实用神经疾病杂志,2016,19(6):72.
[9] 郑云秀.高血压脑出血病人的院前急救与转运技巧[J].中国社区医师,2016,32(2):85.
[10] 刘小立,彭绩,周海滨,等.深圳市慢性非传染性疾病及其相关危险因素流行病学研究[M].北京:人民卫生出版社,2009.
[11] 王德群,宋来君,郭付有,等.老年高血压丘脑出血破入脑室50例临床分析[J].中国实用神经疾病杂志,2016,19(4):89.
[12] 王萍,闻立芳.高血压俱乐部健康促进效果评价[J].中国健康教育,2016,32(3):269.
[13] 王超,赵军芳,冯玲莉,等.高血压病人认知功能现况分析[J].中国慢性病预防与控制,2016,26(4):266.
[14] 张丹,陈鸣声,李亚运,等.西部农村地区高血压病人随访服务利用研究[J].南京医科大学学报(社会科学版),2016,5(1):5.
[15] 吴隐雄,邓金龙,吴东峰,等.氨氯地平与培哚普利对老年高血压病人靶器官保护作用的对比研究[J].广西医学,2016,38(2):178.
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