Journal of Hebei Medical University

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Hypertension management program of combining the general practice department in general grade A tertiary hospital and community health service institutions#br#

  

  1. 1.Department of General Practice, the Second Hospital of Hebei Medical University, Shijiazhuang
    050000, China; 2.Department of Neurology, the Second Hospital of Hebei
    Medical University, Shijiazhuang 050000, China
  • Online:2020-04-25 Published:2020-05-15

Abstract: [Abstract] Objective〖HTSS〗To evaluate the effects of the hypertension management program of combining the general practice department in general grade A tertiary hospital and community health service institutions.
 〖WTHZ〗Methods〖HTSS〗Randomly assigned 500 patients with hypertension from five randomly assigned community health service institutions in Shijiazhuang city. Those patients were randomly assigned to receive regular hypertension management(n=250) from community health service institutions, including regular blood pressure monitoring, medication guidance, and routine health education and combination managements(n=250). Treatments in both groups were at least 6 months. The primary outcomes were the knowledge of hypertension prevention and treatment, and behaviors of self-management.
 〖WTHZ〗Results〖HTSS〗There were no significant differences between groups in the knowledge of hypertension prevention and treatment, and behaviors of self-management before program intervention(P>0.05). After 6 months program intervention, all primary outcomes in exposure group were higher than non-exposure group with statistically significant(P<0.05). The blood pressure of the intervention group reached a stable level earlier than the control group.
 〖WTHZ〗Conclusion〖HTSS〗The general practice department of the general grade tertiary hospital closely cooperates with community health service institutions may improve hypertension patients' cognition of hypertension prevention and treatment, and behaviors of self-management.

Key words: hypertension, organizational case studies, general practice