Intervention effect evaluation of community-based health service management mode on patients with hypertension in Nanhai District,Foshan

Objective To evaluate the intervention effects of a community-based health service management mode,which used a combined regimen of Self-management Model and Health Ecological Medicine,on community patients with hypertension in Nanhai District,Foshan. Methods Patients with hypertension,whose health profile had been built in the community,were selected and randomized into intervention group and control group. The intervention group received the community-based health service management mode,while the control group received conventional basic public health service management. Changes of health behavior,self management efficiency,and parameters of physical examination and biochemical detection were compared between two groups before and after 6 months of the implementation of the project.Results A total of 412 patients with hypertension were selected,including 212 in the intervention group and 200 in the control group. There were no significant differences in gender,age,education level,and the course of hypertension between the intervention group and the control group( all P 0. 05). Six months after implementation of the project,the differences in changes of daily salt intake,daily intake of fruits and vegetables,weekly physical exercises,weekly cigarette smoking,and weekly alcohol consumption were statistically significant between the two groups( P 0. 05 or P 0. 01). Before and after the intervention,the differences in proportions of the self-management efficiency,policy resource utilization,and utilization of medical service resource were statistically significant in the intervention group( all P 0. 01),while only in the proportion of the utilization of medical services resource was statistically significant in the control group( P 0. 01). After the intervention,the diastolic systolic blood pressure was lower in the control group; the systolic blood pressure,diastolic blood pressure,waist circumference,fasting blood-glucose,total cholesterol and triglyceride were lower in the intervention group( all P 0. 05). The differences in all the parameters of examination and detection were also statistically significant different between the two groups before and after the interventions( all P 0. 05). Conclusion Compared with conventional public health service management,the community-based health service management mode for patients with hypertension has better effects on the improvement of lifestyle-related behavior,self-management efficiency,utilization of community policy and medical service resources,body weight and waistline control,and lowering blood pressure,blood-glucose,and blood lipid. This health service management mode should be widely used in the community.