Effect of Triangle hierarchical management among community patients with hypertension
ZHANG Hong1, HU Zhiming2, PAN Xiaofeng3, ZHU Mengsheng1, DAI Weili4, XIE Yili2, ZHU Jianfang1
1. Department of Health Development, Hangzhou Ninth People's Hospital, Hangzhou, Zhejiang 311225, China; 2. Hangzhou Ninth People's Hospital, Hangzhou, Zhejiang 311225, China; 3. Qianjin Community Health Service Center, Qiantang District, Hangzhou, Zhejiang 311228, China; 4. Hezhuang Community Health Service Center, Qiantang District, Hangzhou, Zhejiang 311222, China
Abstract：Objective To evaluate the effect of Triangle hierarchical management among community patients with hypertension, so as to provide insights into the improvements of standardized hypertension management. Methods Patients with newly diagnosed hypertension from 2 community health service centers in Qiantang District of Hangzhou City by the end of 2020 were randomly assigned to the conventional group and the Triangle group. Patients in the conventional group were given health management services according to the requirements of basic public health service standard for one year, while patients in the Triangle group were given Triangle hierarchical management. The blood pressure, self-management behaviors, treatment compliance, smoking, alcohol consumption and exercise were collected using the self-management behavior scale, treatment compliance scale and self-designed questionnaires, and were compared before and after intervention with analysis of covariance and generalized estimation equations. Results Totally 200 patients with hypertension were recruited, including 100 patients in the conventional group and 100 patients in the Triangle group. There were no significant differences between the two groups before implementation of interventions in terms of gender, age, educational level or occupation (P>0.05). The reduction in blood pressure, increase in the score of treatment, diet, exercise and living habitat management and the total score of self-management behaviors, increase in the score of adherence to medication regimens, daily living management behaviors, smoking and alcohol consumption preference and the total score of treatment compliance, and increase in the number of patients with normal standard of quitting smoking, quitting alcohol consumption, exercise and blood pressure were significantly higher in the Triangle group than in the conventional group after intervention (P<0.05). Conclusions Triangle hierarchical management may increase the treatment compliance, improve the self-management behavior and facilitate hypertension control among hypertensive patients, which may be popularized for health management among community patients with hypertension.
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