Comparison of blood pressure control in community hypertensive patients with different management methods

Objective To compare blood pressure control in community hypertensive patients with different management methods. Methods Two neighborhood committees in a community of Pudong were selected as study area using cluster sampling method.A total of 5 166 residents aged ≥35 y were screened for blood pressure; the subjects with high blood pressure and had antihypertensive medication in last 6 months were included, and patients with secondary hypertension was excluded.The patients who entered community hypertension management program and got medication from community were included in community group; those who did not enter in community management program and/or not get medication from community were included in non-community group.Self-designed questionnaire was used for investigation.The medication compliance, awareness of hypertension risk factors and high blood pressure control were compared between two groups. Results Among 5 166 residents 4 763 were surveyed for hypertension with a response rate of 92.2% and hypertension prevalence rate of 23.2% (1 105/4 763). Among 1 012 patients with drug treatment for more than 6 months, there were 878 cases in community (86.8%) and 134 cases (13.2%) in non-community group. There were no significant differences in gender, age, education, working condition between community group and non-community group (P>0.05).44.3% (389/878) patients in community group had a history of high blood pressure >10 y and that was 56.7% (76/134) in non-community group (P=0.011); 28.6% (251/878) patients in community group were at high risk for risk stratification and that in non-community group was 47.8% (64/134) (P<0.001). The awareness of hypertension risk factors in community group and non-community group was 83.9% and 95.5%, respectively (P<0.001). The medication compliance and blood pressure control rates in two groups were 93.2% and 84.3% (P<0.001), 68.6% and 51.5%, respectively (P<0.001). Conclusion The outcomes of hypertension management in terms of medication compliance and blood pressure control in community group are better than those in non-community group. Key words: Hypertension; Treatment methods; Community health services