江苏某农村地区实施家庭督导提高高血压治疗依从性的干预试验  

A Community Trial of the Family Member- based Supervision for Patients with Hypertension in One Rural Area of Jiangsu Province

作　　者：岳己强 吕洁琼[2] 陈峰[3] 王建明[1,2] 

机构地区：[1]南京医科大学公共卫生学院社会医学与健康教育学系,211166 [2]南京医科大学公共卫生学院流行病学系,211166 [3]南京医科大学公共卫生学院生物统计学系,211166

出　　处：《医学研究杂志》2016年第3期41-43,48,共4页Journal of Medical Research

基　　金：美国中华医学基金会基金资助项目(CMB991);江苏省青蓝工程基金资助项目(2014);江苏省六大人才高峰(2014-YY-023);江苏高校哲学社会科学研究基金资助项目(2014SJB164)

摘　　要：目的探讨家庭成员督导对提高高血压治疗依从性的效果。方法以江苏省扬中市为研究现场,采用社区试验设计将554例原发性高血压患者随机分为两组。对照组288例接受常规高血压管理措施,干预组266例接受家庭成员督导干预,比较两组依从性和行为的变化情况。结果 12个月末时干预组血压测量频率≥1次/月的比例为96.24%,服药依从率65.97%,食盐摄入减少率87.59%;对照组血压测量频率≥1次/月的比例为74.73%。服药依从率77.07%,食盐摄入减少率75.44%。结论家庭成员督导对于提高高血压患者治疗依从性和促进膳食行为改变具有应用价值。Objective To evaluate the effects of a family member-based supervision for patients with hypertension in increasing the treatment adherence. Methods A community intervention trial was performed in Yangzhong county, Jiangsu Province. 554 patients with primary hypertension were randomly allocated into two groups. A total of 288 cases in the control group received standard route management measures while 266 cases in the intervention group received a family member-based supervision package. Treatment adherence and behavior changes were compared. Results After following for 12 months, in the intervention group there were 65.97% patients measuring blood pressure over 1 time/month, 65.97% patients adhering to anti-hypertensive treatment and 87.59% reducing salt consumption, while these frequency were 74.73%, 77.07%,and 75.44%, respectively in the control group. Conclusion The family member supervised therapy can be applied for patients with hypertension to achieve a high adherence rate and dietary behavior changes.

关 键 词：高血压 社区试验 依从性 

分 类 号：R193[医药卫生—卫生事业管理]