巴南区农村地区基于家庭医生签约服务干预模式下高血压患者健康管理效果评价  

Evaluation of Health Management Effectiveness for Hypertension Patients Under the Intervention Model of Family Doctor Contract Services in Rural Areas of Ba'nan District

作　　者：余兰英[1] 陶小红[1] 刘成果[1] YU Lan-ying;TAO Xiao-hong;LIU Cheng-guo(Department of Chronic Disease and Endemic Disease Prevention and Control,Ba'nan District Center for Disease Control and Prevention,Chongqing 401320,China)

机构地区：[1]重庆市巴南区疾病预防控制中心慢性病与地方病防控科,重庆401320

出　　处：《医学信息》2024年第12期72-74,79,共4页Journal of Medical Information

基　　金：重庆市巴南区科研项目(编号:2020-shsy-18)。

摘　　要：目的探讨巴南区农村地区家庭医生签约服务干预模式对社区高血压患者的管理效果。方法按照城乡地域分布,在巴南区抽取4个镇街为农村地区项目点,在4个项目点按照简单随机抽样方法,共选取2020年1月-12月纳入国家基本公共卫生服务管理的≥35岁高血压患者,随机分成干预组(n=939)和对照组(n=987)。对照组给予常规健康管理,干预组实施家庭医生签约服务干预模式下的健康管理,比较两组血压水平、血压控制率、规范管理率、治疗率。结果干预组干预后收缩压、舒张压均低于对照组,差异有统计学意义(P<0.05);干预组血压控制率、规范管理率、治疗率分别为70.82%、88.82%、87.33%,高于对照组的59.07%、79.23%、79.13%,差异有统计学意义(P<0.05)。结论家庭医生签约服务健康管理模式在农村地区高血压患者健康管理中的效果良好,可降低患者血压水平,提高患者血压控制率、规范管理率和治疗率。Objective To explore the management effect of family doctor contract services intervention model on community hypertension patients in rural areas of Ba'nan District.Methods According to the distribution of urban and rural areas,4 towns and streets were selected as rural project sites in Ba'nan District.Hypertensive patients aged≥35 who were included in the national basic public health service management in January to December 2020 were selected from the 4 project sites using a simple random sampling method.They were divided into an intervention group(n=939)and a control group(n=987).The control group was given routine health management,and the intervention group was given health management intervention of family doctor contract service.The blood pressure level,blood pressure control rate,standardized management rate and treatment rate were compared between the two groups.Results After intervention,the systolic blood pressure and diastolic blood pressure in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The blood pressure control rate,standardized management rate and treatment rate of the intervention group were 70.82%,88.82%and 87.33%,respectively,which were higher than 59.07%,79.23%and 79.13%of the control group,the difference was statistically significant(P<0.05).Conclusion The health management model of family doctor contract service has a good effect in the health management of hypertensive patients in rural areas,which can reduce the blood pressure level of patients,improve the blood pressure control rate,standardized management rate and treatment rate.

关 键 词：农村地区 高血压 家庭医生签约服务 管理效果 

分 类 号：R544.1[医药卫生—心血管疾病]