摘要
目的 分析社区护理在高血压慢性病随访中的作用。方法 参与本次研究患者的数量为80例，起始时间2024年2月份，截止时间2025年2月份，分成对照组和实验组，每组40例。对照组的患者不提供护理，实验组患者提供社区护理干预。比较两组患者血压水平以及自我管理能力。结果 两组患者通过建立不同的护理措施后，实验组患者自我管理水平更高，p<0.05，对比两组患者的血压水平，实验组患者血压水平更稳定，P<0.05。结论 通过对社区内高血压患者提供社区护理干预，可以提高患者的自我管理能力，使得患者的血压水平更为平稳，满足患者护理需求的同时，提升了患者的护理质量，值得提倡。
关键词： 社区护理；高血压；慢性病；随访
Abstract
Objective To evaluate the effectiveness of community nursing in chronic hypertension follow-up management. Methods A total of 80 patients were enrolled from February 2024 to February 2025, divided into two groups (control and experimental) of 34 cases each. The control group received no nursing interventions, while the experimental group received community-based nursing care. Both groups were compared in blood pressure control and self-management capacity. Results After implementing tailored nursing measures, the experimental group demonstrated significantly higher self-management skills (p<0.05). Blood pressure levels in the experimental group remained more stable compared to the control group (p<0.05). Conclusion Providing community nursing interventions for hypertensive patients improves their self-management capabilities, stabilizes blood pressure levels, meets care needs, and enhances overall care quality. This approach is clinically recommended.
Key words： Community nursing; Hypertension; Chronic disease; Follow-up
参考文献 References
[1] 王艳萍.社区慢性病管理模式在老年高血压管理中的效果与分析[J].中文科技期刊数据库（文摘版）医药卫生, 2022(3):169-171.
[2] 钟幼红.社区慢性病管理模式在老年高血压管理中的效果分析[J].中文科技期刊数据库（文摘版）医药卫生, 2022(11):171-173.
[3] 杨登强.社区高血压预防控制中健康教育的应用效果[J].健康教育与健康促进,2022,17(2):173-176.
[4] 陈燕凤.健康教育与慢性病管理护理在社区老年高血压中的应用及分析[J].中文科技期刊数据库（文摘版）医药卫生,2024(6):0119-0122.
[5] 刘江涛.慢性病随访管理在原发性高血压治疗中的应用及其作用分析[J].智慧健康,2021(5):162-164.
[6] 陈金巧,周春华.健康教育与慢性病管理护理在社区老年高血压中的价值分析[J].中文科技期刊数据库（引文版）医药卫生,2023(4):124-127.
[7] Mingyao P ,Xinyi S ,Lin Z , et al.Follow-up management service and health outcomes of hypertensive patients in China: A cross-sectional analysis from the national health service survey in Jiangsu province [J].Frontiers in Public Health,2022,10956711-9567.
[8] 符建芳,余红.随访工作在社区重点慢性病管理中的应用及其作用分析[J].中文科技期刊数据库（全文版）医药卫生,2023(6):1-4.
[9] Xuehong W ,Jie C ,Dan Z , et al.The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?[J].BMC Primary Care,2024,25(1):130-130.
[10] Ekenga V ,Copelin N ,Moten C , et al.Impact of collaborative chronic care management with remote monitoring on blood glucose and blood pressure in federally qualified health center patients: A pilot study.[J].Health science reports,2024,7(2):e1853-e1853.