Effects of health management on outpatients with hypertension

Abstract

Objective To study the effects of health management on blood pressure and lifestyle of hypertensive outpatients. Methods A total of 319 hypertensive outpatients were randomly assigned to the control group (n=160) or the health management group (n=159). Pharmacologic therapy was given to the control group, while in the health management group, intensive health management combined with pharmacologic therapy was conducted.Blood pressure, height, body weight (BW), total cholesterol (TC), and fasting blood glucose (FBG) of the participants were measured and compared at baseline and 12 months. Results There were no significant differences of clinical characteristics between two groups at baseline.After 12 months′ intervention, more significant decrease of systolic blood pressure and diastolic blood pressure was found in the health management group (t values were 2.701 and 2.306, respectively; both P 0.05). The participants in the health management group showed improved physical exercises, diet, and adherence to treatment at the end of the observation (χ2 values were 59.459, 52.018, 6.321 and 5.392, respectively; all P<0.05). Conclusion Compared with pharmacologic therapy, health management combined with pharmacologic therapy could significantly improve clinical parameters and life style of hypertensive patients. Key words: Hypertension; Life style; Health management