Evaluation Of The Effectiveness Of Comprehensive Hypertension Management In Zhengzhou

Background and objectiveWith the rapid development of society,the improvement of people's living standard and the change of behavior patterns,the prevalence of hypertension in China becomes higher and higher.Serious complications of hypertension include stroke,myocardial infarction,heart failure and chronic kidney disease.The high rates of disability and mortality cause great burdens to the family and society.Domestic and foreign researches show that hypertension can prevent and treat through appropriate management measures.It makes blood pressure level and the incidence of complications reduce by appropriate management measures.And appropriate management measures can improve hypertensive patient's prognosis and improve patient life quality.The purpose of the research is to evaluate the effectiveness of comprehensive hypertension management mode.MethodsHypertensive patients aged ? 35 years in the Zhengfei community of Zhengzhou were recruited.The patients were randomly assigned to the intervention and control groups.Those in intervention group received comprehensive hypertension management from October 2015 to September 2016,whereas those in the control group remained the original mode.Scales to assess blood pressure control,biochemical indexes,unhealthy lifestyle,and cardiovascular disease associated risk level were used to evaluate the effectiveness of the management modes.ResultsBoth study groups had 1051 patients.There were no significant differences in the baseline data of the two groups(P > 0.05).At the end of 1 year of receiving the respective hypertension management modes,each group had 941 patients.Findings revealed that,after receiving the comprehensive hypertension management mode,the systolic and diastolic blood pressure in the intervention group decreased by(9.87±7.38)mm Hg(1 mm Hg = 0.133 kPa)and(6.33±4.14)mm Hg,respectively.Those in the control group decreased by(7.01±6.02)mm Hg and(4.52±3.59)mm Hg,respectively,statistically significant differences in the extent of reduction of blood pressure between the two groups(P < 0.05).Further,the fasting plasma glucose,postprandial blood glucose,low density lipoprotein,serum creatinine,and microalbuminuria levels in the intervention group were significantly lower than those in the control group(all P < 0.05).However,the intervention group exhibited a significant increase in the high density lipoprotein level as compared to the control group(P < 0.05).There were no significant differences in the total cholesterol,triglyceride,urinary creatinine levels and body max index between the two groups(P > 0.05),although they had decreased in both the groups.After the 1-year management,these proportions of smoking,heavy drinking,high salt diet and need to exercise were 10.0%,3.7%,20.1%,and 48.9% in the intervention group,and 15.3%,10.0%,29.0%,and 54.3% in the control group.The proportions were significantly different among the two groups(P < 0.05).After the 1-year management,these proportions of low,moderate,and high risk of cardiovascular disease were 13.3%,33.5%,and 53.2% in the intervention group,and 11.2%,30.1%,and 58.8% in the control group,respectively,with statistically significant differences between the two groups(P < 0.05).After the 1-year management,the proportion of treated,controlled,and control-treated hypertension using medication was 100%,65.1%,and 75.3% in the intervention group,and 39.5%,60.3%,and 70.0% in the control group,respectively,with statistically significant differences between the two groups(P < 0.05).ConclusionThe comprehensive hypertension management mode can effectively reduce blood pressure and improve the bad life habits.Further,the mode can improve treatment compliance,effectiveness and improve patient's prgnosis.