Study On The Efficieencies Of Standardized Management On Hypertensive In A Community In Wuhu City

Objective: Through the standardized management of hypertensive in community,To explore the significance of the management method for hypertension patients to control blood pressure,improve quality of life and keep good mental state.Methods: In A community in Wuhu city,110 cases of hyperpietic were selected by systematic sampling,they were divided into two groups at random。There are 55 cases in group A which were standardized managed,While Group B consisted of 55 cases in the unmanaged group,1 case died during follow-up and lost to follow-up(Lost to follow-up rate 0.9%),and 54 patients completed follow-up.Management and follow-up were conducted for one year.Record the following information of all patients: name,sex,age.Blood pressure,body mass index(BMI),salt intake,medication compliance(mmas-8)score,life activity ability(ADL)and depression score(SDS)were measured at 0 months,6 months and 12 months respectively.Patients in group A were required to receive hypertension health education every tow weeks,volunteer to hypertension activities in the community,and set up A self-management group with the help of general practitioners.Finally,The data of the two groups of patients were sorted out and finally entered into the Excel.Results:(1)Salt intake had a positive correlation with blood pressure(SBP,DBP)(P < 0.01,P=0.002),SDS was correlated with systolic and diastolic blood pressure positively(P = 0.012,0.003),and mmas-8 score was negatively correlated with blood pressure(SBP,DBP)(P < 0.01,P = 0.014).(2)Systolic blood pressure and diastolic blood pressure in group A were not improved at 6 months compared with group B(P= 0.068,0.415),and were improved at 12 months compared with group B(P < 0.01,P= 0.007).(3)Body mass index(BMI)in group A showed no improvement compared with group B at 6 months(P = 0.354)and improved compared with group B at 12months(P = 0.036).(4)The actual daily intake of salt in group A at 6 months and 12 months was no better than that in group B(P = 0.800,0.164).(5)The ADL score of group A showed no improvement compared with group B at 6 months and 12 months(P = 0.295,0.300).(6)The SDS score,depression status score,of group A improved compared with group B at 6 and 12 months(P = 0.005,P < 0.01).(7)Compliance(mmas-8 score)in group A improved at 6 and 12 months compared with group B(P =0.032,P < 0.01).(8)The self-management group participation rate(60%,83.6%)at 6and 12 months in group A was ameliorated compared with group B significantly(13.0%,18.5%)(both P < 0.01).Conclusion: This study found that actual daily intake of salt,depression and compliance were associated with SBP and DBP.And long-term standardized community hypertension management can depress the blood pressure,BMI,and improve patients’ depression and medication adherence effectively.