Achieving blood pressure control in patients with diabetes: a case study in primary care.

Andrea M Wessell, Steven M Ornstein, Paul J Nietert, James P Wilson, Angela Brooks
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Abstract

This article presents a case study from a primary care practice that achieves blood pressure control (ie, less than 130/85 mm Hg) in a majority of patients with diabetes. Fifty-three percent of the last blood pressures measured in 2001 were controlled and 38% of patients achieved blood pressure control without medications or with a single agent. Blood pressure control is achieved in a majority of patients in this practice secondary to their focus on guidelines, involvement of nursing staff in case management, and medication use consistent with recommendations.

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实现糖尿病患者的血压控制:一个初级保健的案例研究。
本文介绍了一个初级保健实践的案例研究,该实践在大多数糖尿病患者中实现了血压控制(即低于130/85毫米汞柱)。在2001年最后一次测量的血压中,有53%的人得到了控制,38%的患者在没有药物或单一药物的情况下实现了血压控制。在这种做法中,大多数患者的血压控制是次要的,因为他们关注指南,护理人员参与病例管理,并按照建议使用药物。
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