社區(qū)高血壓患者管理探索explorationofmanagementforthe-文庫(kù)吧資料
2024-08-02 05:57本頁(yè)面
【正文】 nity health service to hypertension, we can promote patients have regular medication and other intervention, elevate well controlled rate and help people and society to reduce economic burden 。 one second record (69months) below 140/90mmHg means acceptable: less than one second record (lee than 6 months) below 140/90mmHg means not well. 結(jié)果 conclusion 通過(guò) 1年對(duì)本社區(qū) 520例高血壓患者規(guī)范管理 ， 高血壓患者優(yōu)良達(dá)標(biāo)患者 126例 （ %） ， 尚可達(dá)標(biāo) 264例 （ %） ， 不良者 129例 （ %） ， 失訪 1例 （ %） 該患者納入管理后 4個(gè)月搬遷至外地 。優(yōu)良：全年四分之三以上時(shí)間血壓記錄在 140/90毫米汞柱以下（大于 9個(gè)月）；尚可：全年二分之一以上時(shí)間血壓記錄在 140/90毫米汞柱以下（ 6個(gè)月至 9個(gè)月）；不良：全年二分之一或以下時(shí)間血壓記錄在 140/90毫米汞柱以下（小于或等于 6個(gè)月）。我們將一級(jí)管理的患者予每 2月不少于一次測(cè)量血壓，以健康教育和非藥物干預(yù)措施為主；二級(jí)管理的患者予每 1月不少于一次測(cè)量血壓，進(jìn)行健康教育及用藥指導(dǎo)，制定個(gè)性化的藥物治療方案；三級(jí)管理每 1月不少于一次測(cè)量血壓，在本中心或上級(jí)三甲醫(yī)院進(jìn)行規(guī)律降壓治療，對(duì)降壓效果不理想的患者由責(zé)任醫(yī)師提出專(zhuān)科會(huì)診，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(zhuǎn)診入院治療，出院后在健康檔案中記錄診治過(guò)程。 To establish normative archive of hypertension: we train the doctors and nurses of our department on management the blood pressure was measured standard. health care records of every hypertension patient was established and the health examination survey was carried out (including age, sex, course of disease, personal history, family history, plication history, living habit such as taking salt and fat, smoking, drinking, exercising ect). we also measure the body height, body weight and waistline of the patients. health care records of the patients were kept in our department. special person was in charge of archive management. every time measurement of blood pressure was recorded in the archive, the changes of patient39。 Methods: accord
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