摘要
目的:探讨健康管理管理专员在社区高血压管理中的作用。方法:通过对486例高血压患者的日常管理,筛查出符合条件的113例患者和家属入选健康管理专员,在社区责任团队原有的高血压分层管理模式的基础上增加健康专员参与管理。结果:增加健康管理专员进行管理后患者自测血压率、规律服药率、血压控制率方面明显提高。结论:通过健康管理专员参与的高血压管理,不仅有利于患者自身对疾病的防治,也有利于社区其他高血压患者对疾病的防治,是一种有效的管理模式。
Objective：To assess the function of Health management specialist in management of community Hypertension. Methods： Through the 486 cases of patients with high blood pressure daily management, Screening out 113 patients and families as health management specialist who meet the conditions. These Health management specialist will participate in management of community Hypertension on the basis of the original high blood pressure layered management mode. Results： The rate of self - test of blood pressure, taking medicine regularly, hypertension control has increased obviously, as a result of involving Health management specialist in management of community Hypertension. Conclusion： Involving Health management specialist in management of community Hypertension is an effective management mode,which is used to improve the prevention of hypertention including Health management specialists themselves and the other patients in community.
关键词
社区高血压
健康管理专员
血压控制管理
community Hypertension Health management specialist blood pressure
