Abstract：Objective To explore the management effect of intelligent assessment model for cardiovascular risk on hypertension of elderly patients in community, and to provide a theoretical basis for exploring new models for hypertension management. Methods A stratified sampling method was used to choose 20 community health service centers in Baoan District from January to June 2020. 1,208 hypertensive patients aged ≥ 60 years were selected, and then divided into the control group and the observation group by random number table. The control group was given regular follow-up and health education every quarter. In addition to the management measures taken in the control group, the observation group had an intelligent assessment of cardiovascular risk and targeted intervention measures in each follow-up. A one-year follow-up was performed. The management effect was evaluated by using t test and Chi-square test. Results After the intervention, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly lower in the observation group than in the control group ((138.67±19.68)mmHg vs. (141.04±16.45)mmHg, t=1.998, P=0.045; (80.95±13.20)mmHg vs. (82.42±11.59)mmHg, t=1.993, P=0.046). After the intervention, the scores of self-concept, self-care responsibility, self-care skills, health knowledge level and the total score in the Exercise of Self-care Agency Scale (ESCA) were all significantly higher in the observation group than in the control group ((20.49±2.41) vs. (18.77±2.41), t=7.990, P<0.001), ((17.01±3.23) vs. (15.66±2.06), t=5.543, P<0.001), ((28.91±4.23) vs. (27.22±3.14), t=4.495, P<0.001), ((50.42±7.09) vs. (47.39±7.50), t=5.749, P<0.001), ((116.82±9.14) vs. (109.03±8.81),t=10.537, P<0.001). After the intervention, the score of medication compliance behavior scale was higher in the observation group than in the control group ((4.97±0.83) vs. (4.48±1.03), t=5.496, P<0.001). After the intervention, no statisticallysignificant differences were found in waist circumference and diastolic blood pressure between the two groups (both P>0.05). Conclusion The management model based on the intelligent assessment of cardiovascular risk can effectively improve the self-care agency and medication adherence of elderly hypertensive patients in community, promote better blood pressure control and improve the patients' quality of life.
何向阳, 刘峥, 张哲, 郭艳芳. 社区老年高血压患者心血管风险智能化评估管理模式的干预效果分析[J]. 实用预防医学, 2022, 29(5): 555-559.
HE Xiang-yang, LIU Zheng, ZHANG Zhe, GUO Yan-fang. Intervention effect of intelligent assessment and management model for cardiovascular risk on hypertension of elderly patients in community. , 2022, 29(5): 555-559.
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2022, Vol. 29 
