论文部分内容阅读
目的评估社区卫生服务中心综合干预对高血压患者治疗和管理的效果。方法选取北京市海淀区万寿路社区卫生服务中心门诊就诊的160例高血压患者,随机分为观察组80例,对照组80例。对照组实施常规治疗和健康管理,观察组在对照组的常规治疗及干预基础上采取家庭医生综合干预模式,两组均综合干预1年,观察患者血压水平及对高血压防治知识的知晓情况及患者服药依从性和生活方式改变情况。结果干预1年后,观察组患者收缩压(116.70±4.39)mm Hg和舒张压(73.27±3.10)mm Hg,均低于对照组(P<0.05);对高血压诊断标准、危险因素、高血压危害和治疗方法的知晓率分别为95.00%、81.25%、87.50%和90.00%,明显均高于对照组(P<0.05);患者遵医嘱按种类服药(87.50%)、遵医嘱按频次服药(70.00%)、合理膳食(67.50%)及适量运动(55.00%)的比例明显高于对照组(P<0.05)。结论家庭医生综合干预模式能有效提高社区高血压患者的治疗率和控制率,减少心脑血管病事件的发生率,提高辖区高血压患者的生活质量,是社区医生管控辖区高血压患者的有效模式。
Objective To evaluate the effect of comprehensive intervention of community health service center on the treatment and management of hypertensive patients. Methods A total of 160 hypertensive patients were selected from outpatient clinics of Wanshou Road Community Health Service Center in Haidian District, Beijing. They were randomly divided into observation group (80 cases) and control group (80 cases). The control group was given routine treatment and health management. The observation group took the mode of family doctor comprehensive intervention on the basis of routine treatment and intervention of the control group. The two groups were comprehensively intervened for 1 year to observe the patients’ blood pressure level and the knowledge of prevention and treatment of hypertension. Patient medication compliance and lifestyle changes. Results One year after intervention, systolic blood pressure (116.70 ± 4.39) mm Hg and diastolic blood pressure (73.27 ± 3.10) mm Hg in the observation group were significantly lower than those in the control group (P <0.05). The diagnosis of hypertension, risk factors, high The awareness rates of blood pressure and treatment were 95.00%, 81.25%, 87.50% and 90.00%, respectively, which were obviously higher than those of the control group (P <0.05). The patients were prescribed drugs according to the prescriptions (87.50%), (70.00%), reasonable diet (67.50%) and moderate exercise (55.00%) were significantly higher than the control group (P <0.05). Conclusion The comprehensive intervention model of family doctor can effectively improve the treatment rate and control rate, reduce the incidence of cardiovascular and cerebrovascular diseases and improve the quality of life of patients with hypertension in community area, which is an effective mode for community doctors to control hypertensive patients .