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目的目的探讨全科医师首诊负责制模式在社区高血压管理中对血压控制效果的影响。方法从我院牛湖社区健康服务中心登记的原发性高血压患者中选取75例为观察组,另从我院其他社区健康服务中心登记的原发性高血压患者中选取75例为对照组,观察组实施全科医师首诊负责制模式,对照组实施常规诊疗模式,对两组患者管理前后疾病知识知晓率及血压控制达标率进行观察。结果管理前两组患者疾病知识知晓率无明显差异(P>0.05),管理后观察组高血压诊断标准、高血压危害、药物疾病知识及并发症相关知识等知晓率显著高于对照组,差异有统计学意义(P<0.05);管理前血压控制达标率两组无显著差异(P>0.05);管理后观察组达标率为89.33%,明显高于对照组的65.33%,差异有统计学意义(P<0.05)。结论社区高血压管理中开展全科医生首诊负责制模式效果满意,可提高患者疾病知识知晓率,提高血压控制率,利于患者预后,值得推广。
Objective To explore the impact of general practitioner first-patient responsibility mode on blood pressure control in community-based hypertension management. Methods Seventy-five patients with essential hypertension who were enrolled in Niuhu Community Health Service Center of our hospital were selected as the observation group. 75 cases of patients with essential hypertension registered in other community health service centers of our hospital were selected as the control group , The observation group implemented the first consultation general practitioner mode of responsibility, the control group to implement the conventional diagnosis and treatment mode, the two groups of patients before and after the management of disease awareness and blood pressure control compliance rate was observed. Results There was no significant difference in knowledge of disease knowledge between the two groups before management (P> 0.05). After the management, the awareness rate of hypertension diagnosis, hypertension, drug-related diseases and related knowledge were significantly higher in the observation group than in the control group (P <0.05). There was no significant difference (P> 0.05) between the two groups before the management of blood pressure control (P> 0.05). After the management, the compliance rate of the observation group was 89.33%, which was significantly higher than that of the control group (65.33% Significance (P <0.05). Conclusion Community-based hypertension management in general practitioners to carry out the first consultation model is satisfactory, can improve awareness of disease knowledge and improve blood pressure control rate, which is conducive to the prognosis of patients, it is worth promoting.