Evaluation Study On Implementation Effect Of The Management Pathway For Hypertension

The prevalence of hypertension has increased year by year.At present,the number of people suffering from hypertension in China has reached 270 million,which has brought huge economic burden to individuals and society.However,the treatment rate and control rate of hypertension in China are still at a low level.Therefore,improving the treatment rate and control rate of hypertension is the key to curbing the epidemic of cardiovascular diseases in China.In order to establish an effective extra-hospital hypertension management mechanism,the research team began research on chronic disease management in 2014.Based on theoretical research,the chronic disease management pathway model was designed to construct a hypertension management pathway.And according to the pathway,with the mobile medical technology as a carrier,the hypertension management system is realized.The hypertension management system is the best application for the management pathway for hypertension.Currently,the hypertension management pathway has been applied in several pilots,but its specific implementation effect has not been systematically studied.Based on this situation,this paper asks the question:What is the actual implementation effect of the management path of hypertensive chronic disease?What can help patients with hypertension?In order to explore the actual implementation effect of the hypertension management pathway,this paper implements a randomized controlled trial,and deeply analyzes the effect of specific interventions on the hypertension managclnent pathway.The specific content of this paper includes:(1)The study of chronic disease management methods,the hypertension managenent pathway and its applications.This paper mainly introduces the current management methods of hypertension based on the four major elements of Chronic Care Model.According to the comparison,it is proposed that the hypertension management pathway can effectively establish effective comnunication between doctors and patients,and can effectively cally out out-of-hospital management.This paper introduces the pathway construction process,and proposes that the hypertension management system is the best practice of the pathway,and also introduces the system framework and function of the hypertension management system.(2)Randomized controlled trial design.The evaluation subject in this paper is the hypertension management pathway,and the evaluation content is the implementation effect of the pathway Hypertension management system is the best practice of hypertension management pathway.Therefore,this paper evaluates the effectiveness of hypertension management pathway through the management effect of hypertension management system.After referring the relevant literature and discussing with clinical experts,the design of randomized controlled trials was carried out from three perspectives:data source,evaluation method and content,and quality control.(3)Randomized controlled trial results and effect evaluation.This paper evaluated the changes in outcome measures after 6 months of management in the intervention and the control group.The analysis analyzed the physiological outcomes,self-management behaviors and self-management effectiveness,and a total of 17 outcome indicators were evaluated.The results of the evaluation showed that in the main indicators,after 6 months of management,the systolic blood pressure of the intervention group((128.00±9.44)mmHg)was significantly lower than that of the control group((135.00±13.56)mmHg),and the blood pressure compliance rate of the intervention group(65.4%)significantly higher than that of the control group(35.1%).Among the 17 outcome measures,the intervention group had significant differences in 13 outcome measures.It can be concluded that the hypertension management pathway can effectively manage patients with hypertension outside the hospital.(4)Evaluation of the effect of specific interventions on the hypertension management pathway.The specific intervention effects of three types of follow-up(dynamic routine follow-up,poor adherence follow-up,abnormal condition follow-up)were analyzed from three aspects:health intervention timing,health intervention content and effect.From the evaluation results:1)In terms of the timing of health interventions,during the 6-month follow-up period,75(18%)follow-up was adjusted of the dynamic routine follow-up time based on the pathway calculation.87(20.91%)were due to poor patient compliance and 43(10.33%)were followed up for abnormalities due to abnormal health data or discomfort;2)From the aspect of health intervention content,medical staff can follow up with different follow-up recommendations according to the pathway;3)In terms of the effectiveness of health interventions,follow-up intervention can effectively reduce the patient's blood pressure,dynamic routine follow-up,poor adherence follow-up,abnormal follow-up can separately decreased the patient's monthly mean blood pressure from(134.86±11.71)mmHg,(130.58±14.00)mmHg,(139.14±15.62)mmHg to(130.56±9.65)mmHg,(127.00±8.3)mmHg,(136.65±8.41)mmHg,and the monthly mean systolic blood pressure decreased significantly in the three types of follow-up.Patients also had improvements in monthly mean diastolic blood pressure,weekly mean systolic blood pressure,diastolic blood pressure,and self-management behavior.Hypertension management pathway can provide accurate services for the right patients at the right time,and the follow-up interventions provided in time to deal with the health problems encountered during the management of the patients,so that the physiological indicators of the patients,Self-management behavior and self-management effectiveness have improved.