高血压患者规范管理与家医签约一体化的现况调查  

Investigation on the Status of Integration of Standardized Management and Family Doctor Contract in Patients With Hypertension

作　　者：王会兰[1] 李肖肖[1] 杨玲[1] WANG Huilan;LI Xiaoxiao;YANG Ling(Yuetan Community Health Service Center,Fuxing Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《继续医学教育》2024年第3期189-192,共4页Continuing Medical Education

基　　金：北京市西城区2020年度优秀人才项目(202040)。

摘　　要：目的了解北京市月坛地区高血压患者进行家医签约的一般现状,探索高血压管理与家医签约的整合现况,为提高高血压管理效率、促进家医签约服务的可持续发展探索切合社区实际工作的方法。方法采用现况调查的方法,对2022年6—8月在月坛社区卫生服务中心进行电子签约家医服务的高血压患者进行问卷调查。问卷包括基本情况、高血压诊疗服务及需求、高血压知识知晓情况及家医签约服务满意度。结果在签约家医服务的高血压患者中,失眠和使用降压药物种类对血压的控制差异有统计学意义(P<0.05)。高血压患者对高血压相关用药知识的知晓率为20.45%,对其危险因素的知晓率为43.18%,对其并发症的知晓率为33.64%。高血压患者且对诊疗预约服务和微信服务有较大需求。高血压患者对原有家医签约服务满意度得分的中位数为93分。结论应积极控制高血压患者的失眠情况及使用降压药物的种类,充分利用家医签约服务微信群及时增强诊疗预约和健康教育能力,促进高血压管理与家医签约的充分融合。Objective To understand the general status of family doctor contract for hypertension patients in Yuetan area of Beijing,to explore the integration of hypertension management and family doctor contract,and to explore the practical work methods to improve the efficiency of hypertension management and promote the sustainable development of family doctor contract service.Methods A questionnaire survey was conducted among hypertensive patients who had received electronic home health service in Yuetan Community Health Service Center from June to August 2022.The questionnaire had been included with basic information,diagnosis and treatment service and demand for hypertension,knowledge about hypertension,and satisfaction with family doctor's service.Results Among the patients with hypertension who signed the service of family doctor,the difference of insomnia and antihypertensive drugs used on blood pressure control was statistically significant(P<0.05).The awareness rate of hypertension-related medication was 20.45%,the awareness rate of risk factors was 43.18%,and the awareness rate of complications was 33.64%.Patients with hypertension and the diagnosis and treatment booking services and WeChat services had greater demand.The median satisfaction score of patients with hypertension was 93 points.Conclusion The insomnia of hypertension patients and the types of antihypertensive drugs should be actively controlled,and the ability of diagnosis and treatment appointment and health education should be timely enhanced by making full use of the WeChat group of family doctor contract service,so as to promote the full integration of hypertension management and family doctor contract.

关 键 词：高血压 家医签约 诊疗预约 微信服务 管理 现况调查 

分 类 号：R544[医药卫生—心血管疾病]