摘要
目的评估家庭医生模式下的高血压综合干预效果。方法选取2014年12月～2017年6月某社区高血压患者共200例作为研究对象,对其进行血压检测及降压治疗,随机将200例患者分为两组,观察组100例患者采用家庭医生签约管理方式干预,对照组不采用任何方式干预。记录高血压患者干预前后的血压控制情况,统计高血压知识知晓率的变化情况,并参照Morisky问卷设定评分标准对干预前后的服药依从性进行评价。结果两组干预后血压控制水平明显下降,与组内干预前比较差异均有统计学意义(P <0.05);观察组干预后血压控制水平明显低于对照组干预后,且比较差异有统计学意义(P <0.05);观察组干预后高血压知识知晓率明显高于干预前,且比较差异有统计学意义(P <0.05);对照组干预后高血压知识知晓率与干预前比较无统计学意义(P <0.05);观察组干预后高血压知识知晓率明显高于对照组干预后,且比较差异有统计学意义(P <0.05);观察组干预后服药依从性评分明显高于干预前,且比较差异有统计学意义(P <0.05);对照组干预后服药依从性评分与干预前比较差异无统计学意义(P <0.05);观察组干预后服药依从性评分明显高于对照组干预后,且比较差异有统计学意义(P <0.05)。结论家庭医生模式干预能够控制高血压患者的血压水平,提高服药依从性和高血压知识知晓率,值得进一步推广和运用。
Objective To evaluate comprehensive intervention effect of hypertension under family physician model.Methods Two hundred patients with hypertension in a community from December 2014 to June 2017 were selected as research objects and they were given blood pressure measurement and antihypertensive treatment.200 patients were randomly divided into two groups.100 patients in the observation group were given intervention by family physician contract management model while 100 patients in the control group were not given any intervention.Blood pressure control before and after intervention of hypertensive patients was recorded and awareness rate of hypertension knowledge was recorded.The compliance of medication before and after intervention was evaluated according to scoring criteria by the Morisky questionnaire.Results After intervention,blood pressure control levels of two groups were significantly decreased.Difference in blood pressure control level before and after intervention was significant(P<0.05).Blood pressure control level after intervention in the observation group was significantly lower than that in the control group and the comparative difference was significant(P<0.05).Awareness rate of hypertension knowledge after intervention in the observation group was significantly higher than that before the intervention and the comparative difference was significant(P<0.05).Awareness rate of hypertension knowledge before and after intervention in the control group had no statistical significance(P<0.05).Awareness rate of hypertension knowledge after intervention in the observation group was significantly higher than that in the control group.The comparative difference was significant(P<0.05).The medication compliance score after intervention in the observation group was significantly higher than that before intervention(P<0.05).The medication compliance score after intervention and before intervention in the control group had no statistical significance(P<0.05).After intervention,the medication compliance score in the observation group was significantly higher than that of the control group(P<0.05).Conclusion The intervention of family physician model can control the blood pressure level of hypertensive patients and improve the compliance of medication and awareness rate of hypertension knowledge,which is worthy of further application and promotion.
作者
王森标
WANG Senbiao(Longgang District Fourth People's Hospital,Longshan Community Health Service Center,Shenzhen 518114,China)
出处
《中国医药科学》
2018年第22期254-257,共4页
China Medicine And Pharmacy
关键词
家庭医生模式
高血压
综合干预
效果评价
Family physician r model
Hypertension
Comprehensive intervention
Effect evaluation
