广州社区卫生服务中心开展高血压护理的现状调查  

Survey on Nursing Care for Hypertension in Community Health Service Centers in Guangzhou

作　　者：叶萍[1] 高钰琳[1] 陈佩云[1] 黄柳轩[1] 王婷[1] 

机构地区：[1]南方医科大学护理学院,广东广州510515

出　　处：《护理学报》2009年第17期71-73,共3页Journal of Nursing（China）

基　　金：南方医科大学2006-2007学生课外科研课题

摘　　要：目的了解广州市城区社区卫生服务中心高血压社区护理工作的开展情况,以探讨针对性的改善对策。方法分层随机抽取越秀区、海珠区、白云区、荔湾区的社区卫生服务中心27家,由社区卫生服务中心的护理主管填写自编的高血压社区护理工作内容调查问卷。结果调查的27个社区卫生服务中心,均开展了高血压高危人群及高血压病人的随访,其中13个中心开展了有规律的高血压高危人群随访,管理率为20%～95%不等,随访形式主要为预约病人到门诊,其次是电话和就诊时顺便进行;随访内容最普遍的是控制体质量、血压控制、不良饮食习惯指导,放松训练开展较少;17个中心开展了有规律的高血压病人随访,管理率为5%～96%不等,随访形式主要为电话,其次是预约病人到门诊及就诊时顺便进行;随访内容最普遍的为限盐饮食指导、用药指导、监测血压及运动指导,对心理状况的了解、合并症及并发症的管理开展较少。无法开展高血压病人和高危人群全员规律管理的原因均依次为:居民不配合、护士人手有限、资金有限、知识和技巧缺乏。结论高血压病社区护理干预现状并不乐观,主要与居民不配合、人力及资金资源不足有关,开展工作的内容不够全面,特别是对高血压病人的心理干预和三级预防中预防残疾的内容需要加强。Objective To understand what community nurses did for the hypertension patients and high-risk population in Guangzhou. Methods Twenty-seven community health service centers were selected from four districts in Guangzhou by stratified random sampling. These four districts were Yuexiu District, Haizhu District, Baiyun District, Liwan District. Directors of these community health service centers were invited to fill out a self-designed questionnaire on hypertension management. Results All the 27 community health service centers had carried out follow-up interventions for high-risk groups and patients of hypertension. 13 centers had carried out regular follow-up interventions for high-risk groups, managed 20%-95% of the population. 17 centers had carried out regular follow-up interventions for patients of hypertension, managed 5%-96% of the population. The reasons why centers were unable to carry out full management in sequence were that some residents did not cooperate, and nursing staff and financial resources were limited, and nurses were lack of knowledge and skills. Conclusion The status of hypertension management in community allows for no optimism, mainly because of the residents being not cooperative, lack of manpower and financial resources. The interventions were not comprehensive enough, and evaluation of psychological status of hypertensive patients and disability prevention in tertiary prevention needed to be strengthened.

关 键 词：广州市 高血压 社区护理 

分 类 号：R473.1[医药卫生—护理学]