ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 314
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Effect of general practitioner–specialist management mode
on blood pressure and body composition of hypertension
patients in rural areas in Guangde
A/Prof Jian Jia1, Ting Zhao1, E/Prof Yiyang Zhan1, Jiaqi Shi2
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Jiangsu Provincial People’s Hospital, 2The University of Melbourne
To improve the management effect of hypertension patients in rural areas, a health management mode
combining both general practitioners and specialists was used in hypertension patient intervention.
A total of 387 hypertensive patients in Shijie Town, Guangde County, Anhui Province, were selected
from January to June 2022 and randomly divided into an experimental group and a control group.
The experimental group was managed by the GP–specialist hypertension management team. The
control group was managed under a family doctor contract. Body composition was determined
by a InbodyS10 analyser using bioelectrical impedance analysis. Comparisons and analyses were
conducted using t-tests and one-way analysis of variance. Before the management, there were no
significant differences in blood pressure, fasting blood glucose, uric acid, LDL cholesterol, triglyceride
and HDL cholesterol between the two groups (P > 0.05). After the management, blood pressure,
fasting blood glucose, uric acid, LDL cholesterol, triglyceride and BMI in both groups decreased
significantly (P < 0.05), and HDL cholesterol was significantly increased (P < 0.05). Overall cholesterol
levels were significantly decreased in the experimental group (P < 0.001), but there was no significant
change in total cholesterol level in the control group (P > 0.05). Systolic blood pressure, diastolic blood
pressure, total cholesterol level, LDL cholesterol, triglyceride and BMI levels in the experimental group
were significantly lower than in the control group (P < 0.05). Before the management, there were no
significant differences in bone mass, protein mass, fat mass, muscle mass, body fat percentage and
visceral fat between the two groups (P > 0.05). After the management, fat mass, body fat percentage
and visceral fat in both groups were significantly decreased, while bone mass, protein mass and fat
mass were significantly increased (P < 0.05). The fat mass, body fat percentage and visceral fat of
the experimental group were significantly lower than in the control group, and the muscle mass of the
experimental group was significantly higher than in the control group (P < 0.05).
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