专项培训对新疆和田地区基层医护人员及高血压患者健康管理素养的效果  

Effect of special training in health management literacy of grassroots medical staff and hypertension patients in Hotan region of Xinjiang Uygur Autonomous Region

作　　者：林春梅[1] 张敏[2] 阿里旦·艾尔肯[1] 武云[1] LIN Chunmei;ZHANG Min;ALIDAN·Arken;WU Yun(Department of General Medicine,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830054,China;Department of Chinese Medicine,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830054,China)

机构地区：[1]新疆医科大学第一附属医院全科医学科,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院中医科,新疆乌鲁木齐830054

出　　处：《中国医药导报》2020年第9期57-60,共4页China Medical Herald

基　　金：新疆维吾尔自治区卫生健康扶贫工作优秀适宜技术推广项目(SYTG-Y201932)。

摘　　要：目的探讨基于影响因素下建立的专项培训模式对新疆和田地区基层医护人员及高血压患者健康管理素养的实施效果。方法于2019年1~8月抽取新疆和田地区8个卫生基层单位基层医护人员(110名)及高血压患者(120例)作为研究对象。对医护人员实施基于影响因素的高血压管理专项培训。120例患者中,60例为培训前纳入,60例为培训后纳入。以问卷调查的方式对培训前后医护人员高血压管理能力及高血压患者满意度、疾病认知、血压水平进行调查。结果单位所在地及是否参加过培训为医护人员管理知识得分的影响因素,文化程度及是否参加过培训是医护人员管理行为得分的影响因素(P<0.05)。培训后医护人员高血压健康素养知识及行为得分显著高于培训前,差异有统计学意义(P<0.05)。经培训的高血压患者疾病认知、满意度得分均高于未经培训患者,差异有统计学意义(P<0.05)。结论基于多因素分析下的高血压专项培训可以显著提高新疆和田基层医护人员高血压健康管理素养,同时可以提高患者的疾病认知和满意度,具有极大推广价值。Objective To explore the effect of special training mode based on independent factors on improving hypertension health management in grassroots medical staff and hypertension patients in Hotan region of Xinjiang Uygur Autonomous Region.Methods From January to August 2019,a total of 110 primary health care workers and 120 hypertensive patients from 8 primary health care units in Hotan region were selected as the research objects,while special training based on influencing factors on hypertension management was conducted for the health care workers.There were 60 patients were enrolled before training,and 60 patients were enrolled after training of 120 patients.Hypertension management ability of the workers,while the satisfaction,disease cognition and blood pressure levels of hypertension patients before and after the training were investigated by the questionnaire survey.Results The location of the unit and whether it has participated in training were influential factors for the management knowledge score of medical staff,and the education level and whether it has participated in training were the influential factors for the management behavior score of medical staff(P<0.05).The scores of hypertension health literacy knowledge and behavior of medical staff after training were significantly higher than before training,and the differences were statistically significant(P<0.05).The scores of disease awareness and satisfaction of trained hypertensive patients were higher than those of untrained patients,and the differences were statistically significant(P<0.05).Conclusion The special training on hypertension based on multi-factor analysis can significantly improve the health management literacy of primary medical staff in Hotan tegion,Xinjiang Uygur Autonomous Region.At the same time,it can improve disease awareness and satisfaction of patients,which has great promotion value.

关 键 词：高血压管理 基层医疗 健康素养 疾病认知 

分 类 号：R544.11[医药卫生—心血管疾病]