不同管理模式对老年高血压患者治疗依从性影响的研究  

Research on the Impact of Treatment Compliance of Elderly Hypertension Patients with Different Management Modes

作　　者：陆燕玲 耿桂灵[1] 蔡端颖[1] LU Yan-ling(School of Nursing,Nantong University,Nantong,P.R.China)

机构地区：[1]南通大学护理学院,江苏南通226000

出　　处：《中国卫生事业管理》2018年第9期701-705,共5页Chinese Health Service Management

基　　金：国家教育部人文社会科学基金项目"医养结合理念下慢性病老人延续护理模式构建与实证研究"(14YJAZH022);南通市科技计划项目"基于信息平台构建老年高血压病人"医院-社区-家庭"延续护理模式"(MS12015098)

摘　　要：目的:观察不同管理模式,即家庭医生签约模式与社区常规管理模式对老年高血压患者治疗依从性的影响。方法:采用高血压治疗依从性量表观察不同管理模式下老年高血压患者依从性的改变。结果:400例老年高血压患者(女性224名和男性176名),平均年龄(72. 99±9. 02)岁,签约组0、3、6个月依从性分别为94. 02±17. 23、99. 97±14. 81和102. 61±13. 24分,常规组0、3、6个月依从性分别为94. 47±11. 01、98. 62±7. 80和100. 84±7. 33分。多元线性回归显示,高血压治疗依从性与组别有相关性(P <0. 001),其四个维度分别为遵医服药行为(P <0. 001)、不良服药行为(P <0. 001)、日常生活管理行为(P <0. 001)和烟酒嗜好管理行为(P <0. 01)与组别均具有显著相关性。结论:家庭医生签约模式有效提高了社区老年高血压患者的治疗依从性,改善了遵医服药行为、不良服药行为、日常生活管理行为的依从性,但未能提高烟酒嗜好管理行为的依从性(常规组优于签约组)。Objective To observe the influence of different management modes, namely family doctor contract mode and com- munity routine management mode on the treatment compliance of eldedy patients with hypertension. Methods Hypertension treatment compliance scale was used to observe the changes of compliance of elderly hypertensive patients under different management modes. Results From the data of 400 elderly patients with hypertension （224 females and 176 males）, with the average age （72. 99 ±9.02）, the compliance for 0, 3 and 6 months of the contract group were 94. 02 ± 17.23,99.97 ±14. 81 and 102. 61 ± 13.24. The compliance for 0, 3 and 6 months of the conventional group were 94. 47 ±11.01, 98.62 ±7. 80 and 100. 84 ±7.33, respectively. Multivariate linear regression showed that hypertensive therapy compliance was correlated with the variable ＇ group＇ （P 〈 0. 001 ）. Four dimensions were as follows： the medical treatment behavior （P 〈 0. 001 ）, adverse drug behavior （P 〈 0. 001 ）, daily life management behavior （P 〈 0. 001 ） and tobacco and alcohol addiction management behavior （P 〈 0. 001 ）, all of which were significant correlated with the variable ＇ group＇. Conclusion The family doctor contract mode could effectively improve the treatment compliance of elderly patients with high blood pressure in the community, and improve compliance with medication behavior, adverse drug behavior and daily life management behaviors. However, the compliance with the management behavior of tobacco and alcohol addiction was not improved （ the regular group was better than the contract group）.

关 键 词：家庭医生签约 社区常规管理 老年高血压 依从性 

分 类 号：R197.1[医药卫生—卫生事业管理]