摘要
目的:以内蒙古和新疆两地区的农村高血压患者为对象,研究农村高血压分级随访管理的现状,患者对随访工作的认知和评价,以及满意度评价的影响因素。方法:采用分层随机抽样的方法,进行面对面的问卷调查,共完成有效问卷564份。应用Pearson卡方检验和Logistic回归分析。结果:82.7%的新疆维吾尔自治区以及86.5%的内蒙古自治区高血压患者随访的方式是自行门诊就诊。患者对于随访工作总体满意度86.2%,各单项满意度比值中医疗设备满意度百分比最低(66.7%);患者所在地、职业、患者居住地与医疗单位的距离是影响患者对随访满意度评价的统计显著性因素。可初步认为新疆地区随访管理效果优于内蒙古地区。结论:加强村卫生室服务能力建设、加大随访工作宣传力度、丰富随访方式提高随访效果。
Objective ：To understand the grade-based follow-up management on patients with hypertension in rural areas, patients cognition and evaluation to follow-up work, and the factors influencing satisfaction evaluation in rural areas of Inner Mongolia and Xinjiang Uygur Autonomous Region. Methods：On the principle of stratified random sampling, 546 valid questionnaire responses were received and data were analyzed using Pearson ？ 2 and logistic regression. Results：82.7% of the rural hypertensive in Xinjiang took visiting clinics as the most common way of follow-up, and the rate in Inner Mongolia was 86.5%. The overall satisfaction rate of follow-up work was 86.2% ,individual satisfaction ratio of medical equipment was the lowest （66.7%）. Area,occupation and the distance between patients＇ residence and medical unit were statistically significant factors influencing their appraisal on follow-up work according to the logistic analysis results. Though the comparison between the two areas,we could preliminarily suggest that the effects of follow-up in Xinjiang were better than those in Inner Mongolia. Conclusion.To improve the effects of follow-up,we should promote the construction of village clinic service ability,increase propagandist strength and ways of follow-up.
出处
《南京医科大学学报（社会科学版）》
2014年第2期95-99,共5页
Journal of Nanjing Medical University（Social Sciences）
基金
美国中华医学基金会资助项目(10-030)
关键词
农村卫生
高血压
随访
公共卫生
rural health
hypertension
follow-up
public health
