Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1893-1896
SHI Wei-li, WANG Liu-yi, LI Ming-yan, ZHAO Ying-shuai, GUO Meng-meng, WANG Yong. Effect evaluation of community hypertension patients' management based on chronic disease management pathway[J]. Chinese Journal of General Practice, 2022, 20(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002729
Citation: SHI Wei-li, WANG Liu-yi, LI Ming-yan, ZHAO Ying-shuai, GUO Meng-meng, WANG Yong. Effect evaluation of community hypertension patients' management based on chronic disease management pathway[J]. Chinese Journal of General Practice, 2022, 20(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002729
shu

Effect evaluation of community hypertension patients' management based on chronic disease management pathway

doi: 10.16766/j.cnki.issn.1674-4152.002729

  • Department of General Practice, Henan Provincial People's Hospital/People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, China

Funds:

 2018020407

  • Received Date: 2021-04-12
    Available Online: 2022-12-30
    Abstract
  •   Objective  To evaluate the effectiveness of health management for hypertension patients in the community based on the chronic disease management pathway.  Methods  A total of 160 patients with hypertension in two districts of Zhengzhou City from January 2019 to June 2019 were selected and divided into management group and control group by random number table, with 80 cases in each group. They received one-year management based on chronic disease management pathway and community routine management, respectively. After one year, blood pressure control, BMI, hypertension prevention knowledge, drug compliance and patients' acceptance of the management plan were evaluated.  Results  A total of 154 patients were enrolled, including 78 patients in the management group and 76 patients in the control group. After one year, systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the two groups were significantly decreased (all P < 0.05), and the blood pressure compliance rate was significantly improved, while the management group was better than the control group (60.2% vs. 42.1%, P < 0.05). The number of patients in the management group who mastered the knowledge of risk factors and early warning symptoms was higher than that in the control group, with a statistically significant difference (P < 0.05). The drug compliance of the two groups was significantly improved (t=4.463, P < 0.001; t=3.525, P=0.001). The questionnaire survey showed that 88.5% (69/78) of the enrolled patients said that the management scheme had certain practicability, and 94.9% (74/78) of the enrolled people hoped to continue to use the scheme for chronic disease management.  Conclusion  Comprehensive management based on chronic disease management pathways can improve the blood pressure control rate and compliance rate of community hypertension patients, and help hypertension patients master relevant prevention knowledge.

     

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