Application of chain management in education among hypertensive patients of the community

Abstract

Objective To investigate the effect of chain management on education among hypertensive patients of the community. Methods A total of 144 cases of hypertension patients in community were selected as the research objects, they were divided into the control group(72 cases, from February to July 2015) and the countryside group (72 cases, from September 2015 to February 2016).The control group was given routine education, and the countryside group received education with chain management. The treatment compliance and blood pressure values were compared between the two groups before and after intervention. Results The score of patients behavior of drug compliance, adverse drug, self life management and cigarettes-alcohol addiction management after intervention in the countryside group were (20.32±4.41), (34.62±5.08), (41.27±3.54), (10.02±1.79) points, while they were (13.41±3.07), (26.23±5.12), (39.78±2.47), (7.94±1.83) points in the control group. And the scores of the countryside group were significantly higher than those of the control group (t =2.930-9.864, P 0.05). The systolic blood pressure, diastolic blood pressure and mean arterial pressure after intervention in the countryside group were (129.63±8.07), (80.12±7.62), (87.43±9.35) mmHg(1 mmHg=0.133 kPa), while they were (135.42±8.13), (87.56±7.79), (99.31±8.72) mmHg in the control group, and there were significant differences(t=4.295, 3.800, 9.201, P<0.01). Conclusions The chain management mode of community hypertension patients with education, can effectively improve the control of blood pressure in patients, improve the treatment compliance of patients. Key words: Health education; Hypertension; Chain management; Community nursing