上海市社区高血压患者管理效果评价
Effect evaluation on management of hypertension patients in Shanghai communities
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摘要:
目的 评价上海市社区高血压患者管理的效果。
方法 使用2013年上海市慢性病及其危险因素监测数据，分析高血压患者的服药、血压控制和相关危险因素控制的情况。
结果 7 147名患者纳入分析，社区高血压患者管理率52.64%。最近两周服药率为94.70%，其中管理组的服药率（97.82%）高于非管理组（91.23%）（χ2=154.29，P < 0.001）。社区的高血压控制率为35.69%，其中管理组的血压控制率为36.58%，非管理组的血压控制率为34.71%。接受高血压管理是提高高血压服药率（OR=4.12，95%CI：3.21~5.29）和控制率（OR=1.12，95%CI：1.02~1.24）的促进因素。两组在超重（或肥胖）、吸烟、饮酒和身体活动不足等相关危险因素控制方面差异无统计学意义。
结论 上海市社区高血压患者管理在提高其管理率、服药率和血压控制率方面取得了一定成效，但管理组患者的血压控制率仍处于较低水平。
Abstract:Objective To evaluate the effect of hypertension patient management program in Shanghai communities.
Methods The data from Shanghai Non-communicable and Chronic Disease (NCD) Surveillance in 2013 were used to analyze controls on medication, blood pressure, and risk factors in hypertension patients.
Results Totally 7147 patients were recruited in the study. The rate of hypertension management program registration was 52.64%. The rate of adherence to prescription medication in last two weeks was 94.70%, among which the rate of the management group (97.82%) was higher than that of the non-management group (91.23%) (χ2=154.29, P < 0.001). The control rate of blood pressure was 35.69%, while the rates of the management group and the non-management group were 36.58% and 34.71%, respectively. Registering to the hypertension management program was a positive factor for the improvement of adherence to prescription medication rate (OR=4.12, 95%CI:3.21-5.29) and blood pressure control rate (OR=1.12, 95%CI:1.02-1.24). There was no significant differences between the two groups in the controls of risk factors such as overweight (or obesity), smoking, drinking, and physical inactivity.
Conclusion Improvement of the rates of hypertension management program registration, adherence to prescription medication, and blood pressure control are achieved through the hypertension patient management program in Shanghai communities, but the blood pressure control rate of the management group is still at a low level.
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