摘要
目的探究家庭医生对签约高血压对象实施包括人体正常血压值上下限知识、每日摄盐上下限量知识、血压控制达标后是否需要服用降压药物知识、血压是否控制越低越好知识高血压四项最关键防治知识指导对其认知的影响。方法在知情同意的基础上,以接受上海市天目西路街道社区卫生服务中心高血压监测管理一年以上,病程在2年以内,无靶器官损害的高血压患者作为研究对象,签约家庭医生高血压患者405名为研究组,继续维持原公共卫生人员电话或上门随访管理高血压患者276名为对照组。2组均按照《中国高血压防治指南2010》修订版要求,根据研究对象血压分级、危险因素分层进行分组管理,分别对其实施血压监测和高血压知识指导。通过答卷方法测评2组患者高血压四项关键防治知识水平。结果 681名研究对象的社会年龄构成、性别构成、高血压病严重程度分组构成,经t检验,研究与对照2组之间的差异无统计学意义(P>0.05),表示2组研究对象其背景情况基本平衡。但研究组对象对四项最关键防治知识正确认知人数比例均高于对照组,经χ~2检验,2组人数比例之间的差异具有统计学意义(P<0.01或P<0.05)。结论家庭医生高血压关键防治知识指导有助于签约对象对高血压防治知识的掌握,对促进自身血压控制具有积极影响。同时,对推动上海市家庭医生制度深入发展具有正面的社会效应。
Objective To explore the influence of the key knowledge guide of hypertension prevention and control provid- ed by the family physician on the signed patients＇ cognition, which includes normal blood pressure values of human body, daily salt intake,the need for taking antihypertensive medication after reaching normal blood pressure level and whether it is advisable to prevent and control blood pressure as soon as possible. Methods On the basis of informed consent, accep- ting monitoring management of hypertension in Shanghai Tianmuxi community health center more than one year, 405 signed patients with hypertension constitute the study group, while 276 hypertensive patients who continue to maintain the original public health personnel telephone or on-site follow-up make up the control group. In accordance with the require- ments of the revised edition of ＂Chinese Hypertension Prevention Guide 2010＂, both groups received blood pressure moni- toring and hypertension knowledge guidance according to the study of blood pressure grades and risk stratification factor group management. Results The age composition of the patients, gender, severity of the hypertension of 681 subjects shows no statistical differences between the two groups （ P 〉 0.05 ） by means of t test, indicating that the background of the two groups has no difference. But the understanding of the study group about the four most critical prevention knowledge was higher than that of the control group,with statistical significance（P value 〈0.01 or 〈0.05 ） via chi-square test. Conclusion The family doctor can help guide the key to prevention and treatment of high blood pressure, have a positive impact on the promotion of their own blood pressttre control. At the same time,it helps to promote the further development of Shanghai family doctor system.
出处
《中华全科医学》
2017年第3期471-474,共4页
Chinese Journal of General Practice
关键词
家庭医生
高血压签约病人
关键知识指导
认知影响
Family doctor
Signed hypertensive patients
Critical knowledge to guide
Cognitive impact
