关键词: 高血压, 疾病管理, 医院, 社区

Abstract: Objective  To explore an effective health management mode of  hypertension in rural community. Methods  A total of 486 cases with hypertension in Wanqiao rural community were enrolled and divided into three groups， including hospitalcommunity group (166 cases)， selfmanagement group (146 cases) and selfcommunity group (174 cases). All three groups were comparatively analyzed after a series of interventions. Results  There were significant increase in three groups in awareness rates of knowledge of hypertension， treatment rates and control rates after intervention.  The K scores， A scores， P scores and Mofisky scores were increased after intervention， and the hospitalcommunity group had the highest score (P<0.05)． Conclusion  Hospitalcommunity integrated management model can improve medication compliance in patients with hypertention，it was worth popularizing in other communities.

Key words: hypertension, disease management, hospitals, community