家庭医生及护士责任制管理对社区高血压患者的影响  

Influences of responsibility administration system by family doctors and nurses on hypertensive patients in communities

作　　者：梁倩雯[1] 王明芳[1] 

机构地区：[1]深圳市福田区人民医院社区健康服务管理办公室,广东深圳518000

出　　处：《现代临床护理》2015年第6期32-36,共5页Modern Clinical Nursing

摘　　要：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。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.

关 键 词：高血压 家庭医生及护士责任制 管理 

分 类 号：R473.2[医药卫生—护理学]