基于结构方程模型的农村高血压患者随访干预效果研究  

Studying on the Effect of Follow-up Intervention on Rural Hypertensive Patients Based on Structural Equation Model

作　　者：曹江翎 王烨 岳国锋 钱东福 Cao Jiang-ling(Nanjing Medical University,Nanjing,P.R.China)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]南京医科大学校长办公室

出　　处：《中国卫生事业管理》2018年第8期605-608,共4页Chinese Health Service Management

基　　金：国家自然科学基金面上项目"基于综合激励模型的农村慢性病卫生服务纵向整合策略研究"(71473130)

摘　　要：目的:以江苏省部分农村地区原发性高血压患者为样本,通过结构方程模型研究随访干预对高血压患者血压控制效果的影响。方法:研究工具包括调查问卷、慢性病随访记录表等;统计方法包括描述性分析、验证性因子分析、结构方程模型。结果:结构方程模型各拟合指数均达到标准,各系数显著性P<0.05,随访干预可通过影响患者高血压知识得分进而影响其健康行为改变情况,从而对血压控制产生积极影响。结论:应积极开展高血压疾病随访服务,加强疾病控制效果。Objective To study the effect of follow-up intervention on blood pressure control in hypertensive patients in rural Jiangsu by structural equation model.Method Patients were surveyed with questionnaires and follow-up record form.Statistical methods including descriptive analysis,confirmatory factor analysis and structural equation models were used.Results The fit indexes of structural equation model were up to the standard.And all the coefficients were significant（P〈0.05）.The follow-up intervention can positively influence the patients＇ blood pressure control by influencing their knowledge and behavior.Conclusion The follow-up medical services on hypertension should be actively carried out to improve the effect of disease control.

关 键 词：随访干预 高血压 结构方程模型 

分 类 号：R195[医药卫生—卫生统计学]