摘要
目的探索如何提高社区随访高血压患者用药依从性的方法。方法随机抽取上钢社区门诊高血压患者2212例,以病例对照的研究方法,探索提高门诊高血压患者用药依从性方法,并评价其效果。结果干预前两组高血压知识评分、个人健康行为率、用药依从性好率比较,差异均无统计学意义(P>0.05)。干预后干预组高血压知识评分、个人健康行为率、用药依从性好率较对照组均明显升高,差异有统计学意义(P<0.05)。干预组血压控制率为64.3%,对照组为41.2%,差异有统计学意义(χ2=118.10,P<0.05)。结论全科医生加强高血压的疾病细节管理,不仅提高了高血压患者的用药依从性,也提高了患者的高血压知晓率和控制率,强化了社区高血压的规范化管理。
Objective To explore how to enhance medication adherence method to Hypertension patients in shanggang community clinics. Methods Random sampling 2212 eases with hypertension in shanggang community clinics. Using a case - control study method to explore how to enhance medication adherence method to hypertension patients and evaluation its results. Results The two groups of hypertension knowledge score before intervention rate of personalhealth behaviors, medication compli- ance rate, the difference was not statistically significant （ P 〉 0.05 ）. The intervention group hypertension knowledge score, the rateof personal health behaviors, medication compliance rate than the control group were significantly increased, the difference was statistically significant （ P 〈 0. 05 ）. Controlblood pressure in the intervention group was 64. 3% , 41.2% in the control group, thediffereneewasstatistieallysignifieant （X2= 118.10, P〈0.05）. Conclusion There is a great positive effect of de- tailed management on community hypertension man agement by general practitioner. Not only the medication adherence was in- creased, but also the community residents acknowledge of prevention and treatment on hypertension and control rate of Blood pressure were increased, the standardize management of community hypertension strengthened.
出处
《临床合理用药杂志》
2012年第18期8-9,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
社区卫生服务
高血压
用药依从性
管理
Community health services
Hypertension
Medication adherence
Management
