【摘要】 目的探索远程血压监测辅以健康指导等不同慢病管理模式在社区高血压患者中的作用,为社区高血压的管理提供参考。方法选取2012年3月至2013年10月,辖区21家社区健康服务中心慢病管理系统中的高血压患者580例,采用区组随机化法随机分为常规观察组、健康指导组、远程血压监测辅以健康指导组共3组,6个月后观察各组患者的血压情况并进行对比。结果 6个月后,远程血压监测辅以健康指导组在降压幅度、血压值和血压达标率方面优于健康指导组,健康指导组优于常规观察组,治疗后(收缩压:χ2=25.935,舒张压:χ2=40.554)、下降幅度(收缩压:χ2=63.294,舒张压:χ2=27.152)、达标率(收缩压:χ2=9.874,舒张压:χ2=11.173)和血压分级(χ2=13.584)差异均有统计学意义(P<0.05)。结论远程血压监测及健康指导慢性病管理模式应用在社区慢性病管理中,可显著改善患者血压,值得广泛推广。更多还原

【Abstract】 Objective To explore the effect of management of chronic disease: Health monitoring platform with Health coach, then giving advice for the chronic disease management. Methods 580 patients in the chronic disease management system of the 21 community health service centers were selected and divided into three groups: control group(n =282),health coach group(n =148),health monitoring platform with health coach(n =149).After 6 months,comparing the hypertension among the three groups. Results After 6 months, the results of last group are better than of the first two groups in blood pressure reduction,blood pressure value, the compliance rate of blood pressure after treatment(SBP: χ2=25.935; DBP: χ2=40.554),decreased amplitude(SBP: χ2=63.294, DBP: χ2=27.152),compliance rates(SBP: χ2=9.874; DBP:χ2=11.173) and blood pressure classification( χ2=13.584) with significance statistical differences(P<0.05). Conclusion Remote blood pressure monitoring and chronic disease management mode of health coach can significantly improve the patient’s blood pressure and is worth popularizing widely.更多还原