社區(qū)高血壓患者管理探索explorationofmanagementforthe(編輯修改稿)
2024-08-16 05:57 本頁面
【文章內容簡介】 hive management. every time measurement of blood pressure was recorded in the archive, the changes of patient39。s condition and medication were recorded any time. 1． 2． 2 強化規(guī)范管理 對 520例高血壓患者與分級管理并督導治療。我們將一級管理的患者予每 2月不少于一次測量血壓，以健康教育和非藥物干預措施為主；二級管理的患者予每 1月不少于一次測量血壓，進行健康教育及用藥指導，制定個性化的藥物治療方案；三級管理每 1月不少于一次測量血壓，在本中心或上級三甲醫(yī)院進行規(guī)律降壓治療，對降壓效果不理想的患者由責任醫(yī)師提出?？茣\，修訂藥物與非藥物治療方案，有急重癥或發(fā)生并發(fā)癥的患者予轉診入院治療，出院后在健康檔案中記錄診治過程。 To strengthen normative management: 520 hypertension patients were managed at different levels. the blood pressure of the patients of the first class management group were measured at least one time for two months, health instruction and intervention of nonmedicine were main treatment for the patients. the blood pressure of the patients of the second class management group were measured at least one time for one month, health instruction and treatment of individual medication were carried out in the patients. the blood pressure of the patients of the third class management group were measured at least one time for one month, health instruction and treatment of individual medication were carried out in the patients. 1． 2． 3 評定標準 根據(jù)管理檔案的血壓記錄進行控制評估，按照患者全年血壓控制情況，分為三個等級：優(yōu)良、尚可、不良。優(yōu)良：全年四分之三以上時間血壓記錄在 140/90毫米汞柱以下（大于 9個月）；尚可：全年二分之一以上時間血壓記錄在 140/90毫米汞柱以下（ 6個月至 9個月）；不良：全年二分之一或以下時間血壓記錄在 140/90毫米汞柱以下（小于或等于 6個月）。 1． 2． 3 evaluation standard： evaluation was made according to blood pressure record in management documents and patients was divided into 3 groups: well controlled, acceptable and not well. Three quarter record (longe
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