Effects Of "Hypertension Center"-based Management On Blood Pressure In Hypertension Patients

Objective:Explore the impact of the"Hypertension Center"management model on the blood pressure control effect,medication adherence,and quality of life of hypertensive patients.Methods:Selected 307 hypertensive patients in the medical group of Qingdao University Affiliated Hospital from April 2019 to December 2019 as the experimental group and 267hypertensive patients as the control group,and implemented a prospective study.The experimental group was managed under the management mode and process of the"Hypertension Center",and the control group was managed under the conventional chronic disease management model.The follow-up time of the experimental group was based on the condition of the patients every 1～3 months for a total of 6 months.The follow-up time of the control group was under the conventional chronic disease management model,and the follow-up was conducted at a frequency of 2 times/6 months,for a total of 6 months.To compare the similarities and differences of the effectiveness of blood pressure control effect,medication adherence evaluation(8-item Morisky Medication Adherence,MMAS-8),quality of life evaluation(Short Form 36-item Health Survey,SF-36),depression evaluation(9-item Patient Health Questionnaire,PHQ-9),and anxiety evaluation(7-item Generalized Anxiety Disorder Questionnaire,GAD-7)in the two groups of patients before and after different modes of management.SPSS 26.0 statistical software was used for data statistical analysis.The measurement data was described by the mean±standard deviation((?)±s),and the counting data was expressed as a percentage(%).If the measurement data is normally distributed and the variances are uniform,the t-test is performed.If the measurement data does not match the normal distribution,the rank-sum test is performed.The count data was subjected to the x~2 test.P<0.05 means that the difference is statistically significant.Results:Two groups of patients were respectively managed by"Hypertension Center"management mode and general community chronic disease management mode for 6months.The blood pressure control rate of the experimental group was higher than that of the control group(90.55%vs.53.93%,P<0.05),and the systolic blood pressure drop value of the experimental group was higher than that of the control group[(12.16±19.93)mm Hg vs.(4.42±19.66)mm Hg,P<0.05].After 6 months of management,the medication adherence score of the experimental group was 7.09±1.06,and the score of the control group was 6.84±0.94.The medication adherence of the two groups of patients was higher than before management,and the experimental group was higher than the control group(P<0.05).After 6 months of management,the experimental group patients’physical function(PF),general health(GH),role-physical(RP),vitality(VT),role-emotional(RE),social functioning(SF),and mental health(MH)of quality of life evaluation were all higher than those of the control group,and the differences were statistically significant(P<0.05).The body pain(BP)score was not statistically different compared with the control group.After 6 months of management,in the depression evaluation,the score of the experimental group was 7.21±4.77 and that of the control group was 7.76±4.53.The scores of the two groups of patients decreased compared with before management,but the score of the experimental group decreased more significantly.After that,the difference between the two groups was statistically significant(P<0.05).After 6 months of management,in the anxiety evaluation,the scores of the experimental group and the control group were 7.35±4.17 and8.24±4.29,respectively.The anxiety evaluation scores of the two groups of patients were reduced compared with those before the management,and the score reduction of the experimental group was more significant.After that,the difference between the two groups was statistically significant(P<0.05).Multivariate linear regression analysis showed that the management model of"Hypertension Center"was significantly related to changes in systolic blood pressure,with a correlation coefficient of-6.6(P<0.05).After 6 months of management,the use rate of single-pill combination(SPC)in the experimental group was54.1%,while the use rate of SPC in the control group was 32.2%.The difference between the two groups was statistically significant(P<0.05).Conclusion:After the management of"Hypertension Center"management mode,the blood pressure control effect of hypertensive patients is obvious,which effectively improves the patient’s medication adherence and improves the quality of life of patients.