基于社区全科治疗原发性高血压的临床效果探究

Exploring the Clinical Effect of Community Generalist Treatment on Primary Hypertension

Objective: To investigate the effects of community generalist treatment on blood pressure control and quality of life in patients with primary hypertension. Methods: A total of 72 patients with primary hypertension were randomly selected for the study and divided into a control group and an observation group, with 36 patients in each group. The control group received only medication treatment, while the observation group received a community generalist treatment intervention in addition to medication. The intervention included hypertension education, psychological intervention, dietary management, and lifestyle guidance. The effectiveness of the intervention was evaluated by comparing blood pressure fluctuations, psychological status, disease knowledge, and long-term follow-up results between the two groups. Results: After the intervention, the observation group showed significantly lower blood pressure values, HAMA, and HAMD scores compared to the control group (P<0.05). The observation group also demonstrated better disease knowledge (P<0.05). Long-term follow-up results indicated that the blood pressure control in the observation group was significantly better than in the control group (P<0.05). Conclusion: Community generalist treatment for primary hypertension can effectively improve patients' disease awareness and self-management abilities, significantly lower blood pressure levels, enhance quality of life, and reduce the incidence of complications, demonstrating good clinical efficacy and potential for broader application.

目的：探讨基于社区全科治疗对原发性高血压患者血压控制和生活质量的改善效果。方法：本研究随机选取72 例原发性高血压患者，分为对照组和观察组，每组36 例。对照组仅接受药物治疗，观察组在药物治疗基础上实施基于社区全科治疗的干预方案，包括高血压疾病宣教、心理干预、饮食管理和生活指导。通过比较两组患者的血压波动、心理状况、疾病知识掌握情况及远期随访结果，评估干预效果。结果：干预后，观察组的血压值、HAMA 和HAMD 评分均明显低于对照组（P＜0.05），且观察组的疾病知识掌握情况优于对照组（P＜0.05）。远期随访结果显示，观察组患者的血压控制情况明显优于对照组（P＜0.05）。结论：基于社区全科治疗原发性高血压能有效提高患者对疾病的认知和自我管理能力，显著降低血压水平，改善生活质量，减少并发症发生，具有较好的临床效果和推广价值。