The Current Status Of Hypertension In A Community In Shenyang And Evaluation Of The Effects Of General Interventions

Objective:In recent years,the incidence of chronic non-communicable diseases such as hypertension has increased year by year,and has become an important risk factor affecting cardiovascular mortality in China.In order to further prevent and control hypertension,hypertension was included in National Basic Public Health Service Project.Since the project was launched,there have been researches about the prevention and control of hypertension in various places.However,Shenyang is located in the north,and has its own characteristics such as climate and diet,but there are relatively few studies in the northern region.This study collects the existing health files of hypertensive residents in a community health service center in Shenyang to understand the general conditions,blood pressure control conditions and medications of hypertensive residents managed by the community Treatment plan,etc.,and retrospectively evaluate the effect of community general practice intervention on hypertension in terms of blood pressure control,medication compliance,and improvement rate of bad living habits.Methods:Collect the health files of residents of a community health service center in Shenyang that were included in the management of hypertension and chronic diseases from January 1,2017 to December 31,2017,to understand the age,gender,BMI and other natural conditions of hypertensive residents in the community Distribution,record smoking,drinking,weekly exercise time,medication compliance,etc.,and conduct cross-sectional analysis;According to the health files of hypertensive residents,collect the above-mentioned residents’follow-up service records for hypertension patients for 1 and 2 years,and analysis blood pressure,smoking,drinking,weekly exercise time and medication compliance and other indicators retrospectively,to evaluate the current community chronic disease management model in the prevention and control of hypertension.Use the model to fit the blood pressure trajectory of the research object and predict the prognosis.Results:1.A total of 565 subjects were selected in this study,including 202 males and 363 females,with an average age of 71.89±7.86 years old,average BMI of25.22±3.16kg/m~2,124 patients with chronic diseases,and those who did not meet the standard salt intake 373 people.There are 49 smokers,with a smoking rate of 8.67%;45 drinkers,with a drinking rate of 7.96%.There were 446 people who took regular medication to control their condition,17 people who did not take medicine regularly,and 102 people who did not take medicine.2.After 1 and 2 years of standardized management in the community,the average values of systolic blood pressure,diastolic blood pressure and pulse pressure difference of the enrolled patients showed a downward trend,and the blood pressure control rate increased,and the difference was statistically significant.For patients with different cardiovascular risk stratification,community general practice intervention can improve blood pressure control rate.Analyzing the blood pressure trajectory of the subjects,the proportion of subjects in the low-level stable group trajectory is 54.6%,and the prognosis is relatively optimistic.3.After 1 and 2 years of community intervention,the average BMI of the enrolled patients decreased,and the rate of salt intake and physical examination rate increased,and the difference was statistically significant;after 1 year of community intervention,the smoking rate and drinking rate There was a decline,and the difference was not statistically significant;after 2 years of community intervention,the smoking rate and drinking rate decreased year by year,and the difference was statistically significant.Conclusion:1.Community general practice intervention has achieved initial results in the prevention and control of hypertension;2.Community intervention has a certain corrective effect on bad living habits.Analyzing the blood pressure trajectory of the subjects,the proportion of subjects in the low-level stable group trajectory is 54.6%,and the prognosis is relatively optimistic.3、The community drug treatment rate is relatively high,but the proportion of combined drugs is low,and the drug regimen still needs further improvement.