Practice and Effect Evaluation of Hypertension Homogenization Management Model Under the "Walking Hospital" Mode in Primary Medical Institutions.

IF 2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of General Medicine Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S544119

Falin Weng, Gang Feng, Wei Lu, Libin Xu, Wenxiang Zhu, Man Tan, Pengjuan Weng, Yating Wang

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Abstract

Purpose: To practice and evaluate the effectiveness of a hypertension homogenization management model under the "walking hospital" mode in primary medical institutions.

Methods: This study examines the impact of hypertension management under the "Walking Hospital" model in Wushan County, encompassing all eligible hypertension patients with established records from various townships and streets. The management approach involves standardized procedures, including unified blood pressure measurement, diagnostic evaluation, treatment follow-up, referral of acute and severe cases, and quality control standards. Data is collected through face-to-face interviews before and after the management initiative. Key indicators of observation include the status of hypertension control (awareness, treatment, and control rates) across different areas. Patient follow-up and data collection span from August 2023 to August 2024. Analysis is conducted using SPSS 22.0, with categorical variable data presented as percentages, and repeated measures ANOVA used for statistical analysis.

Results: Prior to the implementation of the aforementioned management strategies, the prevalence of hypertension awareness in Wushan County was 50.35% (±7.09% SD), with a treatment rate of 42.73% (±7.20% SD) and a control rate of 16.25% (±2.49% SD). Following the implementation of these strategies, there was a significant increase in hypertension awareness to 72.85% (±4.99% SD), treatment rate to 60.92% (±3.78% SD), and control rate to 43.32% (±3.41% SD) in Wushan County (p<0.0001).

Conclusion: Wushan County's "walking hospital" for hypertension management employs standardized procedures, encompassing uniform blood pressure measurement, diagnostic evaluation, treatment monitoring, emergency protocols for acute and severe cases, and stringent quality control standards. This approach effectively enhances the awareness, treatment adherence, and control of hypertension in the region.

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基层医疗机构“步行医院”模式下高血压同质化管理模式的实践与效果评价

目的：对基层医疗机构“步行医院”模式下的高血压同质化管理模式进行实践和评价。方法：本研究对巫山县“步行医院”模式下高血压管理的影响进行了调查，调查对象为各乡镇、街道所有符合条件且已建立病历的高血压患者。管理方法涉及标准化程序，包括统一血压测量、诊断评估、治疗随访、急重症转诊和质量控制标准。数据是通过管理行动前后的面对面访谈收集的。观察的关键指标包括不同地区的高血压控制状况（意识、治疗和控制率）。患者随访和数据收集时间为2023年8月至2024年8月。采用SPSS 22.0进行分析，分类变量数据以百分比表示，统计分析采用重复测量方差分析。结果：实施上述管理策略前，巫山县高血压知晓率为50.35%（±7.09% SD），治愈率为42.73%（±7.20% SD），控制率为16.25%（±2.49% SD）。实施这些策略后，巫山县高血压知晓率显著提高至72.85%（±4.99% SD），治愈率显著提高至60.92%（±3.78% SD），控制率显著提高至43.32%（±3.41% SD）。巫山县高血压管理的“步行医院”采用标准化的程序，包括统一的血压测量、诊断评估、治疗监测、急重症应急方案和严格的质量控制标准。这种方法有效地提高了该地区高血压的认识、治疗依从性和控制。

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来源期刊

International Journal of General Medicine Medicine-General Medicine

自引率

0.00%

发文量

1113

审稿时长

16 weeks

期刊介绍： The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.