高校在職職工高血壓患者規(guī)范化管理效果評價
發(fā)布時間：2018-08-22 08:29
【摘要】：目的:立足于高校這一職業(yè)場所,對國內(nèi)高校的在職職工高血壓患者進行為期兩年的規(guī)范化管理,并評價其管理效果,主要內(nèi)容包括高校在職職工高血壓患者血壓水平的變化、血壓控制率的變化、飲食生活行為方式的變化、高血壓患者生活質(zhì)量、以及其他相關(guān)評價指標(biāo)等。方法:本研究從項目課題納入的20個分中心中選取了職業(yè)場所為高校的3個分中心,共包括國內(nèi)8所高校,并從高校的職工中篩選出高血患者,按3:1的比例隨機納入管理組和常規(guī)組,并按照職業(yè)場所心血管病一級預(yù)防方案、高血壓患者管理方案等對管理組高血壓患者進行規(guī)范化管理,隨訪時間為期2年;常規(guī)組按照目前常規(guī)管理辦法要求開展相關(guān)工作,但不設(shè)項目專員,只在項目開始和結(jié)束時收集2次相關(guān)資料。結(jié)果:1.血壓水平及血壓控制率得到良好控制。無論是SBP還是DBP,經(jīng)規(guī)范化管理后管理組的血壓水平有顯著的下降趨勢,與基線相比,SBP平均水平下降10.1mmHg(P0.05),DBP平均水平下降8.2mmHg(P0.05),差異有統(tǒng)計學(xué)意義;血壓控制率由基線的31.5%在2年后上升至66.8%,控制率有較為明顯的上升;2.生化指標(biāo)異常率的變化不明顯。無論是管理組自身與基線的比較,還是管理組與常規(guī)組在第24月末期的比較,血肌酐、空腹血糖、甘油三酯、總膽固醇的異常率均無明顯變化。3.飲食、生活行為方式有很大的改善。飲食口味方面,管理組飲食喜好偏咸口味的人數(shù)顯著降低,兩年后與基線相比下降24.7%;管理組在隨訪一年后限制攝入高脂肪的人數(shù)占57.9%,較基線上升7.7%;在隨訪2年后限制攝入高脂肪的人數(shù)占81.1%,較基線上升30.9%;管理組1年后吸煙率為27.1%,較基線下降6.3%;飲酒率為24.5%,較基線下降18.3%。兩年后吸煙率為25.2%,較基線下降8.2%,飲酒率為17.8%,較基線下降25.9%;管理組1年后規(guī)律運動人數(shù)為347人,占比70.2%,較基線上升19.6%,2年后規(guī)律運動人數(shù)為400人,占比81.1%,較基線上升30.5%。4.高血壓患者的生活質(zhì)量有了明顯的提高。本研究基于量表"高血壓患者生活質(zhì)量問卷"來評價高校職工高血壓患者生活質(zhì)量。結(jié)果顯示,經(jīng)過兩年規(guī)范化管理后,管理組與常規(guī)組相比生活質(zhì)量有所改善。結(jié)論:1通過職業(yè)人群高血壓規(guī)范化管理,可以顯著降低高血壓患者血壓水平,提高高血壓患者的血壓控制率;2通過職業(yè)人群高血壓規(guī)范化管理,可以降低吸煙率、飲酒率、提高規(guī)律運動率,改變高鹽、高脂肪飲食等行為;3基于高血壓生活質(zhì)量問卷(MINICHAL)評價高血壓患者生活質(zhì)量具有良好的信度和效度,通過職業(yè)人群高血壓規(guī)范化管理,對改善高校在職職工高血壓患者生活質(zhì)量有明顯的效果;4本研究基于國內(nèi)高等院校這一特殊的職業(yè)場所,充分利用校內(nèi)的各項資源,對高校職工高血壓患者實施規(guī)范化管理,并取得了很好的效果,說明在高校職業(yè)場所開展對高血壓患者的規(guī)范化管理是可行的、有效的。
[Abstract]:Objective: to carry out a two-year standardized management of hypertension patients in colleges and universities, and evaluate its management effect. The main contents include the changes of blood pressure level of hypertension patients in colleges and universities. Changes in blood pressure control rate, dietary lifestyle, quality of life in patients with hypertension, and other related indicators. Methods: in this study, 3 occupational centers were selected from 20 sub-centers of the project, including 8 colleges and universities in China, and the patients with high blood were selected from the staff and workers of colleges and universities. According to the proportion of 3:1 into the management group and the routine group, and according to the occupational cardiovascular disease prevention program, hypertension patients management program to the management group of hypertension patients standardized management, follow-up time for 2 years; The routine team carries out the relevant work according to the current routine management method, but does not have the project specialist, only collects the related information twice at the beginning and the end of the project. The result is 1: 1. Blood pressure level and blood pressure control rate are well controlled. Whether SBP or DBP, the blood pressure level of the management group was significantly decreased after standardized management. Compared with the baseline, the average level of 10.1mmHg (P0.05) and the average level of DBP (P0.05) decreased 8.2mmHg (P0.05), the difference was statistically significant. The blood pressure control rate increased from 31.5% of the baseline to 66.8% 2 years later. The change of abnormal rate of biochemical index was not obvious. The abnormal rates of serum creatinine, fasting blood glucose, triglyceride and total cholesterol were not significantly changed in the management group and the control group at the end of 24th month, regardless of the comparison between the management group itself and the baseline, or the control group and the routine group at the end of the 24th month. Diet and lifestyle have greatly improved. In terms of dietary taste, the number of people in the management group who liked salty taste significantly decreased. The number of people in the management group who restricted their intake of high fat after one year of follow-up was 57.9 percent, up 7.7 from the baseline; the number of people who restricted the intake of high fat after 2 years of follow-up accounted for 81.1, an increase of 30.9 over the baseline; and the number of people in the management group who had restricted intake of high fat after one year was 30.9. The rate of drinking was 24.5B, which was 18.3cm lower than the baseline. Two years later, the smoking rate was 25.2cm, which was 8.2 lower than the baseline, and the drinking rate was 17.8.The number of regular exercise in the management group was 347 after one year, accounting for 70.2 percent, which was 19.6 higher than the baseline. Two years later, the number of regular exercise was 400 (81.1%), which was 30.5. 4% higher than the baseline. The quality of life of patients with hypertension has been significantly improved. The purpose of this study was to evaluate the quality of life (QOL) of hypertensive patients in colleges and universities based on the questionnaire of quality of life (QOL) of hypertension patients. The results showed that after two years of standardized management, the quality of life of the management group was improved compared with the routine group. Conclusion through the standardized management of hypertension in occupational population, the blood pressure level of hypertension patients can be significantly reduced, and the blood pressure control rate of hypertension patients can be improved. 2 through the standardized management of hypertension in occupational population, smoking rate and drinking rate can be reduced. To improve the regular exercise rate and change the behavior of high salt and high fat diet etc. (3) based on the quality of life questionnaire (MINICHAL) of hypertension, it has good reliability and validity to evaluate the quality of life of patients with hypertension. There are obvious effects on improving the quality of life of hypertension patients in colleges and universities. Based on the special professional place of colleges and universities in China, this study makes full use of all kinds of resources in colleges and universities, and implements standardized management of hypertension patients among staff and workers in colleges and universities. The results show that the standardized management of hypertension is feasible and effective.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R544.1
本文編號：2196552
[Abstract]:Objective: to carry out a two-year standardized management of hypertension patients in colleges and universities, and evaluate its management effect. The main contents include the changes of blood pressure level of hypertension patients in colleges and universities. Changes in blood pressure control rate, dietary lifestyle, quality of life in patients with hypertension, and other related indicators. Methods: in this study, 3 occupational centers were selected from 20 sub-centers of the project, including 8 colleges and universities in China, and the patients with high blood were selected from the staff and workers of colleges and universities. According to the proportion of 3:1 into the management group and the routine group, and according to the occupational cardiovascular disease prevention program, hypertension patients management program to the management group of hypertension patients standardized management, follow-up time for 2 years; The routine team carries out the relevant work according to the current routine management method, but does not have the project specialist, only collects the related information twice at the beginning and the end of the project. The result is 1: 1. Blood pressure level and blood pressure control rate are well controlled. Whether SBP or DBP, the blood pressure level of the management group was significantly decreased after standardized management. Compared with the baseline, the average level of 10.1mmHg (P0.05) and the average level of DBP (P0.05) decreased 8.2mmHg (P0.05), the difference was statistically significant. The blood pressure control rate increased from 31.5% of the baseline to 66.8% 2 years later. The change of abnormal rate of biochemical index was not obvious. The abnormal rates of serum creatinine, fasting blood glucose, triglyceride and total cholesterol were not significantly changed in the management group and the control group at the end of 24th month, regardless of the comparison between the management group itself and the baseline, or the control group and the routine group at the end of the 24th month. Diet and lifestyle have greatly improved. In terms of dietary taste, the number of people in the management group who liked salty taste significantly decreased. The number of people in the management group who restricted their intake of high fat after one year of follow-up was 57.9 percent, up 7.7 from the baseline; the number of people who restricted the intake of high fat after 2 years of follow-up accounted for 81.1, an increase of 30.9 over the baseline; and the number of people in the management group who had restricted intake of high fat after one year was 30.9. The rate of drinking was 24.5B, which was 18.3cm lower than the baseline. Two years later, the smoking rate was 25.2cm, which was 8.2 lower than the baseline, and the drinking rate was 17.8.The number of regular exercise in the management group was 347 after one year, accounting for 70.2 percent, which was 19.6 higher than the baseline. Two years later, the number of regular exercise was 400 (81.1%), which was 30.5. 4% higher than the baseline. The quality of life of patients with hypertension has been significantly improved. The purpose of this study was to evaluate the quality of life (QOL) of hypertensive patients in colleges and universities based on the questionnaire of quality of life (QOL) of hypertension patients. The results showed that after two years of standardized management, the quality of life of the management group was improved compared with the routine group. Conclusion through the standardized management of hypertension in occupational population, the blood pressure level of hypertension patients can be significantly reduced, and the blood pressure control rate of hypertension patients can be improved. 2 through the standardized management of hypertension in occupational population, smoking rate and drinking rate can be reduced. To improve the regular exercise rate and change the behavior of high salt and high fat diet etc. (3) based on the quality of life questionnaire (MINICHAL) of hypertension, it has good reliability and validity to evaluate the quality of life of patients with hypertension. There are obvious effects on improving the quality of life of hypertension patients in colleges and universities. Based on the special professional place of colleges and universities in China, this study makes full use of all kinds of resources in colleges and universities, and implements standardized management of hypertension patients among staff and workers in colleges and universities. The results show that the standardized management of hypertension is feasible and effective.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R544.1
【參考文獻】
相關(guān)期刊論文 前10條
1 陳偉;;吸煙與高血壓患者心血管疾病死亡和全因死亡關(guān)系的前瞻性隊列研究[J];實用心腦肺血管病雜志;2015年11期
2 陳敦平;;對社區(qū)高血壓患者進行社區(qū)綜合防治三級管理的效果分析[J];當(dāng)代醫(yī)藥論叢;2015年15期
3 陳偉偉;高潤霖;劉力生;朱曼璐;王文;王擁軍;吳兆蘇;李惠君;鄭哲;蔣立新;胡盛壽;;《中國心血管病報告2014》概要[J];中國循環(huán)雜志;2015年07期
4 張喻淇;尹新華;;職業(yè)壓力與高血壓的研究現(xiàn)狀及其防治[J];心臟雜志;2015年06期
5 劉星;楊春偉;梁潔;李曉慶;劉秀榮;吳壽嶺;;綜合干預(yù)對功能社區(qū)高血壓人群心血管健康行為及因素的改善情況研究[J];中國全科醫(yī)學(xué);2014年28期
6 田旭;;健康教育在社區(qū)高血壓防治中的作用[J];中國社區(qū)醫(yī)師;2014年27期
7 楊娉婷;陳志恒;李瑩;袁洪;;常見職業(yè)因素與高血壓的關(guān)系[J];中華高血壓雜志;2014年06期
8 劉明波;李鎰沖;劉世煒;王文;周脈耕;;2010年中國人群高血壓疾病負擔(dān)[J];中華流行病學(xué)雜志;2014年06期
9 王鳳英;;心理干預(yù)及評估在高校教職工高血壓病管理中的應(yīng)用研究[J];保健醫(yī)學(xué)研究與實踐;2014年02期
10 李言;孫勇;蔣海燕;沈潔清;張金玲;;社區(qū)高血壓患者分層分組管理效果評價[J];健康教育與健康促進;2014年02期
，本文編號：2196552
本文鏈接：http://www.lk138.cn/yixuelunwen/xxg/2196552.html
最近更新
教材專著
