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[Analyses on the effect of community-based intervention on hypertension]
Fang Zhao1, Jian-Zhong Zheng, Bo-Wen Chen
1School of Public Health, Shanxi Medical University, Taiyuan 030001, China.
Objective:
To testify the feasibility of management through contract system between general practitioners and patients.
Methods:
In Sichuan province contract was made between general practitioners and hypertension patients in "community health service center-family of hypertension patients" in Yulin community in Chengdu city. After half a year, we analysed the effects of community-based intervention on hypertension.
Results:
General means of both SBP and DBP remarkably decreased (P < 0.05) with SBP remarkably decreased by 8.94 mm Hg while DBP decreased by 3.61 mm Hg. After interfered by the model, people whose blood pressure were above normal had a remarkable decrease than before by 14.06 mm Hg (P < 0.05). Rates of hypertension being under control increased from 38.39% to 64.29% (P < 0.001). Rates of awareness on fatness and heredity in hypertensive patients were increasing from 58.06% to 74.19% (P < 0.001). Rate of awareness on risk factors for hypertension was also higher than that of 6 months back (P < 0.05).
Conclusion:
The model of management by signing contract between general practitioners and patients in community, proved to be a successful way in the treatment to control high blood pressure.
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