社區規范化管理對老年男性高血壓患者血壓變化控制情況的影響

劉海云

【摘要】目的：分析社區規范化管理對老年男性高血壓患者血壓變化控制情況的影響。方法：2020年3月—2021年3月，從在本社區參加老年人體檢登記的老年男性高血壓患者中選擇120例，利用隨機數表法分兩組，各60例，對照組給予一般常規社區管理，試驗組給予社區規范化管理，比較兩組血壓變化控制情況；結果：試驗組管理依從性為96.66%，高于對照組85.00%（P<0.05）；兩組患者管理前，舒張壓和收縮壓水平組間對比，差異無統計學意義（P>0.05），管理后兩組舒張壓和收縮壓低于管理前（P<0.05），組間對比試驗組低于對照組（P<0.05）。結論：針對老年男性高血壓患者，社區規范化管理有利于糾正患者不良行為習慣，提高其依從性，能夠更好地控制患者血壓水平，利于維持患者健康狀況。

【關鍵詞】高血壓；老年；社區規范化管理；血壓水平

The effect of community standardized management on the control of blood pressure changes in elderly male hypertensive patients

LIU Haiyun

Community Health Service Center， Wangxinzhuang Town， Pinggu District， Beijing 101200， China

【Abstract】Objective： To analyze the effect of community standardized management on the control of blood pressure changes in elderly male hypertensive patients. Methods： From March 2020 to March 2021， 120 elderly male hypertensive patients who participated in the elderly physical examination registration in the community were selected and divided into 2 groups with 60 cases by random number table method. The control group was given general routine Community management， the experimental group was given standardized community management， and the control of blood pressure changes in the two groups was compared. Results： The management compliance rate of the experimental group was 96.66%， which was higher than that of the control group （85.00%）（P<0.05）. Before treatment， the diastolic and systolic blood pressure levels of the two groups were not statistically significant（P>0.05）. After treatment， the diastolic blood pressure and systolic blood pressure in the two groups were lower than those before treatment（P<0.05）， and the experimental group was lower than that in the control group（P<0.05）. Conclusion： For elderly male hypertensive patients， community-based standardized management is beneficial to correct bad behaviors， improve their compliance， better control the blood pressure of patients， and maintain the health of patients.

【Key Words】Hypertension； Elderly； Standardized management in community； Blood pressure level

高血壓是一種常見慢性疾病，好發于中老年群體中，目前我國人口老齡化進程不斷加快，老年高血壓患者數量增多，嚴重威脅我國老年群體健康狀況，同時高血壓是心腦血管疾病的獨立風險因素，患者發病后需接受科學規范的管理，以改善患者機體狀況，減輕疾病對其健康的影響，保護患者安全[1]。而老年高血壓患者病程長，疾病恢復受多因素影響，尤其對于男性患者，存在吸煙飲酒嗜好，生活習慣不佳，且男性患者依從性較差，會加重病情，因此開展科學管理服務意義重大。同時考慮到患者病程長，居家恢復時間長，社區醫療資源在老年男性高血壓患者管理中發揮著重要的作用[2]?！?br>