上海社区高血压疾病细节管理对高血压患者知识知晓率的影响研究

发布时间：2018-05-25 06:42

本文选题：高血压 + 管理　；参考：《中国全科医学》2011年04期

【摘要】：目的通过多中心的社区干预试验,评价社区高血压疾病细节管理对高血压患者相关知识知晓度的影响。方法在上海市4个中心城区的社区卫生服务中心中共招募1 442例高血压患者,分为细节管理组961例、日常管理组481例。细节管理组:设立社区健康管理专员专岗,增进社区医生与患者的沟通,提高患者服药依从性,对患者进行生活方式指导,并为社区医生定期收集血压等相关信息并反馈;开发和应用社区管理信息平台和患者管理工具。日常管理组:采用常规的管理模式。结果细节管理组和日常管理组对高血压相关的各项知识知晓情况均较基线有所提高。干预后细节管理组的收缩压和舒张压均低于日常管理组,血压达标值、高血压患病危险因素、高血压防治原则等知晓度评分,细节管理组显著优于日常管理组,差异有统计学意义(P0.05)。细节管理组收缩压与知晓度评分总分的相关系数为-0.352(P=0.000),舒张压与知晓度评分总分的相关系数为-0.262(P=0.000)。结论上海社区高血压疾病细节管理是提高高血压患者相关知识知晓度和血压控制水平的有效措施。
[Abstract]:Objective to evaluate the influence of community hypertension detail management on the knowledge of hypertension patients by multi-center community intervention trial. Methods A total of 1 442 patients with hypertension were recruited from community health service centers in four central districts of Shanghai. They were divided into detail management group (961 cases) and daily management group (481 cases). Detail management group: set up community health management specialist post to improve communication between community doctors and patients, improve patients' compliance with medication, provide lifestyle guidance to patients, and collect blood pressure information and feedback regularly for community doctors; Develop and apply community management information platform and patient management tools. Daily management group: adopt the normal management mode. Results the knowledge about hypertension in detail management group and daily management group were better than baseline. After intervention, systolic and diastolic blood pressure in detail management group were lower than those in daily management group, and blood pressure reached the standard value, hypertension risk factors, hypertension prevention and treatment principles and other awareness scores. Detail management group was significantly better than daily management group. The difference was statistically significant (P 0.05). In detail management group, the correlation coefficient between systolic blood pressure (SBP) and total score of awareness was -0.352Pu 0.000g, and the correlation coefficient between DBP and total score of awareness was -0.262g / kg. Conclusion the detail management of hypertension in Shanghai community is an effective measure to improve the knowledge and blood pressure control level of hypertension patients.
【作者单位】：上海市疾病预防控制中心心脑血管疾病防治科;
【分类号】：R544.1

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