Study On The Compliance Rate Of Hypertension Management By Expert Consultation In Community

Background:HTN is a major public health problem worldwide.According to the China Disease Report,the prevalence of hypertension in Chinese adults is as high as 25.2%,and the estimated number of patients has reached 270 million.High blood pressure can cause serious damage to target organs.Once high blood pressure,such as heart,brain and kidney,serious complications occur,the consequences are serious and have become the leading cause of death of cardiovascular and cerebrovascular diseases.High blood pressure disability rate,high mortality rate,and severe consumption of health and social resources,its direct economic expenses accounted for about 6.61% of total health expenditure.At present,the awareness rate,treatment rate and control rate of hypertension patients are low,so community residents are deeply troubled by hypertension and its complications.The effective measures to control hypertension are based on the comprehensive prevention and treatment of health education.Community general practitioners are the first,the largest and most extensive group of hypertension management groups.However,based on the current status of community management,community general practitioners have poor management results.The compliance with treatment was poor,the blood pressure compliance rate was low,and the complications appeared earlier.Community residents are more willing to go to the top three hospitals,causing the top three hospitals to be overcrowded,and limited medical resources cannot be used reasonably.In recent years,the implementation of grading diagnosis and treatment and the gradual improvement of the medical association,the experts of the top three hospitals went to the community to become the normal state.Therefore,this provides new ideas for exploring a community-compliant management model.Objective:By comparing the blood pressure compliance of the expert consultation group with the general practitioner’s consultation group,the understanding of the disease of the hypertensive patients,the compliance of the medication,and the lifestyle change,it is clear whether the expert consultation can improve the hypertension of the community.Blood pressure compliance rate.To explore the application of comprehensive intervention in the community of patients in the control of diseases in patients with chronic hypertension,and to find new ideas for the management of patients with hypertension in the community.Design and methods:From January 2018 to July 2018,200 patients with hypertension who met the inclusion criteria in the provincial hospital of Tai’an and met the inclusion criteria(diagnostic criteria were the classification criteria for hypertension by the World Health Organization and the International Society of Hypertension).According to the random number table method,it was divided into observation group and control group.The expert is defined as a senior physician in the cardiovascular department of the top three hospitals(for more than 10 years),and the general practitioner is defined as a general practitioner of the provincial hospital.The observation group and the control group conducted corresponding guidance and intervention on the patients through health lectures,outpatient guidance,We Chat platform,and telephone follow-up.The two groups of patients were observed after 6 months of treatment,blood pressure control compliance rate,knowledge of hypertension knowledge,medication compliance,health behavior,blood lipids and BMI changes.Results:1.There were no significant differences in age,gender,blood pressure,TC,TG,LDL-C,HDL-C,BMI between the two groups(P>0.05).2.After the treatment and health education of the observation group(expert clinic group)and the control group(community general outpatient group),the patients have a great rise in the knowledge related to hypertension,what is the normal range of hypertension and blood pressure,and high The improvement of blood pressure was the most obvious in the three patients,and the difference was statistically significant(P<0.05).The precautions for hypertension were higher than those at the time of initial diagnosis,but the difference was not statistically significant(P>0.05).3.The compliance of the newly diagnosed patients in the control group and the observation group was poor.There was no significant difference between the two groups(P>0.05).After 6 months,the compliance of the observation group was significantly better than that of the control group.The difference was statistically significant(P <0.05).4.The observation group and the control group improved significantly before and after the intervention of reasonable diet,lifestyle and compliance behavior,and the difference was statistically significant(P<0.05).There was no improvement in exercise compared with the initial diagnosis,which was not statistically significant(P>0.05).5.There were no significant differences in TC,TG,LDL-C,HDL-C,and BMI between the two groups at the initial diagnosis.After the intervention,the TC,TG,and LDL-C in the observation group and the control group were lower than those at the initial diagnosis(P<0.05).The decrease in the observation group was more obvious(P<0.05),and the difference was statistically significant.HDL-C was higher than that at the time of initial diagnosis(P<0.05),and the height of the observation group was more significant(P<0.05).The difference was statistically significant.The x±s of the BMI group was lower than that of the first diagnosis,but the difference was not statistically significant(P>0.05).6.The blood pressure compliance rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:By adopting the model of expert community consultation,it can improve the medication compliance,compliance behavior,lifestyle and healthy diet of patients with hypertension,thereby improving the compliance rate of blood pressure,which is an effective way to prevent and treat hypertension.