摘要
目的研究家庭医生签约服务对高血压患者生存质量的影响。方法回顾益田社区高血压患者病例资料，挑选出2级高血压患者，记录患者基本资料并（运用调查问卷）调查其他相关资料，同时采用SF-36进行生存质量评估，随机抽取100例患者，根据患者及家属知情同意的原则，分为对照组（n=50）和实验（家庭医生签约服务）组（n=50），对照组采用常规在诊疗方法，实验组在常规诊疗的基础上签约家庭医生服务。收集患者的血压（收缩压与舒张压）、体重指数、生活习惯（包括合理的膳食与适量运动的习惯）、降压药的数量、血脂水平、就诊频率、自我管理能力、月平均医疗费用等；实施家庭医生服务12个月后访谈患者进行SF-36评分，记录各维度（生理功能、生理职能、机体疼痛、总的健康状况、生活活力、社会功能、情绪角色功能和精神健康）的终得分和综合评分。结果深圳市高血压患者主要的危险因素包括体重指数24—28kg／m2，甘油三酯、总胆固醇以及低密度脂蛋白升高；保护因素包括合理的膳食、适量运动的习惯、就诊频率增加、自我管理能力强。实验组与对照组给予相应家庭医生服务后，实验组患者干预前后生理职能、躯体疼痛、社会功能、身心健康、活力以及情感职能变化均有统计学意义（P〈0．05）。结论深圳是家庭医生签约服务可以有效提高高血压患者的生存质量。
Objective To study the influcnc3 of family doctor contract service on the quality of llfe of patients with hypertension . Methods The clinical data of patients with hypertension in Yitian community were analyzed retrospectively to pick out the patients with grade 2 hypertension, who were then recorded for their basic data with questionnaires, as well as other relevant data. SF - 36 was used for the assessment of quality of life. A random sample of 100 patients, according to the principle of informed consent of tile patients and their families, were divided into control group （ n = 50） and experimental group （family doctor contract service, n = 50）. Control group received conventional treatment, while experimental group received family doctor contract service in addition. All patients were collected for their blood pressure （ SBP and DBP ） , body mass index, lifestyle （proper diet and regular exercise habits ） , the number of antihypertensive drugs used, lipid levels, frequency of medical visits, selfmanagement skills and average monthly medical expenses. 12 months after the implementation of family doctor service, the patients were interviewed for SF - 36 score, and final and overall scores of all aspects, including physical function, role pl.ysical, body pain, general health, life vitality, social function, emotional role functioning and mental health. Results The major risk factors of patients vrith hypertension in Shenzhen included body mass,index of 24 - 28 kg/m^2, elevated tfiglycerides, total cholesterol and LDL; while the protective factors contained reasonable diet, regular exercise, frequent medical visits and increased selfmanagement ability. After fantily doctor service, experimental group showed significant difference in physical function, body pain, social function, mental health, vitality and the changes of emotional role （ P 〈 0.05）. Conclusions Family doctor contract service in Shenshen city can effectively improve the quality of life of patients with hypertension.
出处
《社区医学杂志》
2014年第4期7-9,共3页
Journal Of Community Medicine
基金
深圳市福田区医疗卫生类科技计划项目:FTWS201374
关键词
家庭医生
高血压
生活质量
Family doctors
Hypertension
Quality of life
