现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2015年
6期
32-36
,共5页
高血压%家庭医生及护士责任制%管理
高血壓%傢庭醫生及護士責任製%管理
고혈압%가정의생급호사책임제%관리
hypertension%responsibility administration system by family doctors and nurses%management
目的：探讨家庭医生及护士责任制管理对对高血压患者知识掌握及治疗依从性的影响。方法选取深圳市某社区≥40岁的高血压患者200例，按照随机数字表法，将患者随机分为两组，每组各100例，对照组按照《深圳市高血压、糖尿病社区综合防治项目工作手册》规范管理要求，对高血压患者实施分级随访管理，试验组患者签约家庭医生服务协议，在对照组基础上实施家庭医生与护士责任管理。比较两组患者干预1年后高血压相关知识知晓率、治疗依从性、血压、BMI变化情况。结果干预后两组患者知识知晓率、治疗依从性及血压、BMI情况组内比较，差异具有统计学意义（均P＜0．05），干预后明显高于或优于干预前；干预后两组患者知识知晓率、治疗依从性及血压、BMI情况组间比较，差异具有统计学意义（均P＜0．05），试验组明显高于或优于对照组。结论家庭医生及护士责任制管理能有效提高高血压患者知识知晓率和治疗依从性，有效控制血压水平。
目的：探討傢庭醫生及護士責任製管理對對高血壓患者知識掌握及治療依從性的影響。方法選取深圳市某社區≥40歲的高血壓患者200例，按照隨機數字錶法，將患者隨機分為兩組，每組各100例，對照組按照《深圳市高血壓、糖尿病社區綜閤防治項目工作手冊》規範管理要求，對高血壓患者實施分級隨訪管理，試驗組患者籤約傢庭醫生服務協議，在對照組基礎上實施傢庭醫生與護士責任管理。比較兩組患者榦預1年後高血壓相關知識知曉率、治療依從性、血壓、BMI變化情況。結果榦預後兩組患者知識知曉率、治療依從性及血壓、BMI情況組內比較，差異具有統計學意義（均P＜0．05），榦預後明顯高于或優于榦預前；榦預後兩組患者知識知曉率、治療依從性及血壓、BMI情況組間比較，差異具有統計學意義（均P＜0．05），試驗組明顯高于或優于對照組。結論傢庭醫生及護士責任製管理能有效提高高血壓患者知識知曉率和治療依從性，有效控製血壓水平。
목적：탐토가정의생급호사책임제관리대대고혈압환자지식장악급치료의종성적영향。방법선취심수시모사구≥40세적고혈압환자200례，안조수궤수자표법，장환자수궤분위량조，매조각100례，대조조안조《심수시고혈압、당뇨병사구종합방치항목공작수책》규범관리요구，대고혈압환자실시분급수방관리，시험조환자첨약가정의생복무협의，재대조조기출상실시가정의생여호사책임관리。비교량조환자간예1년후고혈압상관지식지효솔、치료의종성、혈압、BMI변화정황。결과간예후량조환자지식지효솔、치료의종성급혈압、BMI정황조내비교，차이구유통계학의의（균P＜0．05），간예후명현고우혹우우간예전；간예후량조환자지식지효솔、치료의종성급혈압、BMI정황조간비교，차이구유통계학의의（균P＜0．05），시험조명현고우혹우우대조조。결론가정의생급호사책임제관리능유효제고고혈압환자지식지효솔화치료의종성，유효공제혈압수평。
Objective To discuss the influences of responsibility administration system by family doctors and nurses on knowledge management and treatment compliance of hypertension patients. Methods Two hunderd hypertension patients (≥40 years old) registered in a community of Shenzhen were selected and randomized into two groups with 100 cases in each group based on the digit random number table. According to the management requirement of Work Manual of Community Comprehensive Prevention and Treatment Project on Hypertension and Diabetes in Shenzhen, patients in the control group were classified for follow-up and management, while the patients in the experiment group signed protocol of family doctor service and were managed by family doctors and nurses in addition to the management by the control group. After 1 year intervention, the two groups were compared in changes of awareness rate of hypertension related knowledge, treatment compliance, blood pressure and BMI. Results The awareness rate of hypertension related knowledge, treatment compliance, blood pressure and BMI in the experiment group after intervention were statistically better than those before intervention (P<0.01). After intervention, those indexes of the experiment group were significantly better than those of the control group (P<0.01). Conclusion Responsibility administration system by family doctors and nurses can effectively improve the awareness rate of hypertension related knowledge and treatment compliance of hypertension patients , thus effectively control the blood pressure.
