Abstract：Objective To evaluate the effectiveness of chronic care model for patients with prehypertension in the community. Methods 379 patients with prehypertension were randomly divided into intervention group and control group. Patients with the intervention group received chronic care model(CCM), those with the control group received routine outpatient service and telephone follow-up for 1 years. The intervention effects wrere evaluated by using the self-made prehypertension risk factors assessment scale(including blood pressure, body mass index, waist hip ratio, blood lipid) and the long-term International Physical Activity Questionnaire (IPAQ). Results After the intervention, the intervention group was significantly greater improvement in the systolic blood pressure, body mass index, physical activity levels, cholesterol, triglyceride than the control group. There were no significant difference between the intervention group and the intervention group in the diastolic blood pressure, waist hip ratio, high density lipoprotein, low density lipoprotein. Conclusions Patients with prehypertension should be routinely included in the management of chronic diseases. And CCM is a kind of effective management modle.
陆萍宋玮, 宋道平. 慢病照护模式在社区高血压前期患者的实施与评价[J]. 实用预防医学, 2016, 23(3): 295-301.
LU Ping, SONG Wei, SONG Daoping. The evaluation of chronic care model for patients with prehypertension in the community. , 2016, 23(3): 295-301.
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2016, Vol. 23 
