不同信息化干预方式对社区老年原发性高血压病患者服药依从性的干预效果研究
发布时间：2018-11-12 07:33
【摘要】：目的探讨不同信息化干预方式对社区老年原发性高血压病患者服药依从性的干预效果。方法选取2013年9月—2014年2月在广西中医药大学附属瑞康医院北湖南棉社区卫生服务中心建立健康档案的老年原发性高血压病患者360例,根据干预方法不同分为9组:A1~A4组、B1~B4组、C组,删去缺失后每组31例。其中A1组采用电话随访干预,1次/d;A2组采用电话随访干预,1次/2 d;A3组采用电话随访干预,1次/3 d;A4组采用电话随访干预,1次/5 d;B1组采用短信随访干预,1次/d;B2组采用短信随访干预,1次/2 d;B3组采用短信随访干预,1次/3 d;B4组采用短信随访干预,1次/5 d;C组采用常规社区干预。于干预前收集患者的一般资料,并于干预后1、3、6个月分别采用Morisky评估量表评价患者的服药依从性。结果 9组患者性别、年龄、高血压等级、病程构成均完全相同,且9组患者民族、职业、文化程度、婚姻状况、收入水平、居住状况、医疗保险、测量血压频率、服药次数、除高血压外其他慢性病、住院次数、发送短信情况间差异均无统计学意义(P0.05)。A1和B1组、A2和B2组、A3和B3组、A4和B4组患者服药依从率均高于C组,差异有统计学意义(P0.05);而A1与B1组、A2与B2组、A3与B3组、A4与B4组患者服药依从率间差异均无统计学意义(P0.05)。结论电话干预和短信干预均可有效提高社区老年原发性高血压病患者服药依从性。
[Abstract]:Objective to explore the effect of different information intervention methods on drug compliance of elderly patients with essential hypertension in community. Methods from September 2013 to February 2014, 360 elderly patients with essential hypertension were selected and divided into 9 groups: A1~A4 group according to different intervention methods, which were established in North Hunan Cotton Community Health Service Center of Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine. B1~B4 group, C group, 31 cases in each group after deletion. Group A1 was followed up by telephone, group A _ 2 by telephone, group A _ 3 by telephone once / 2 d, group A _ 4 by telephone once / 3 d, and group A _ 4 by telephone for one time / five days. Group B1 was followed up with short message, group B 2 with short message, group B 3 with short message, group B 4 with short message for 1 / 3 day, group B 4 with short message, group B 2 with short message for 5 days. Group C was treated with routine community intervention. The general data of patients were collected before intervention, and the compliance of patients was evaluated with Morisky evaluation scale at 3 and 6 months after intervention. Results the gender, age, grade of hypertension and course of disease of the 9 groups were identical, and the nationality, occupation, education, marital status, income level, living condition, medical insurance, blood pressure frequency, times of taking medicine were all the same in the 9 groups. There was no significant difference in the frequency of hospitalization and the sending of SMS except hypertension (P0.05). The compliance rate of patients in A1 and B1 groups, A2 and B2 groups, A3 and B3 groups, A4 and B4 groups was higher than that in C group. The difference was statistically significant (P0.05). There was no significant difference in compliance rate between A1 and B1 group, A2 and B2 group, A3 and B3 group, A4 and B4 group (P0.05). Conclusion telephone intervention and short message intervention can effectively improve the drug compliance of elderly patients with essential hypertension in community.
【作者单位】： 广西中医药大学护理学院;广西中医药大学附属瑞康医院北湖南棉社区卫生服务中心;广西中医药大学;广西医科大学第一附属医院;广西医科大学研究生学院;
【基金】：广西自然科学基金资助项目(2013GXNSFDA278001) 广西壮族自治区哲学社会科学研究课题(15BRK002) 广西壮族自治区教育厅中医药与养老产业发展研究协同创新中心研究课题(桂教科研[2013]10号) 广西壮族自治区卫生厅课题(Z2013250)
【分类号】：R544.11
[Abstract]:Objective to explore the effect of different information intervention methods on drug compliance of elderly patients with essential hypertension in community. Methods from September 2013 to February 2014, 360 elderly patients with essential hypertension were selected and divided into 9 groups: A1~A4 group according to different intervention methods, which were established in North Hunan Cotton Community Health Service Center of Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine. B1~B4 group, C group, 31 cases in each group after deletion. Group A1 was followed up by telephone, group A _ 2 by telephone, group A _ 3 by telephone once / 2 d, group A _ 4 by telephone once / 3 d, and group A _ 4 by telephone for one time / five days. Group B1 was followed up with short message, group B 2 with short message, group B 3 with short message, group B 4 with short message for 1 / 3 day, group B 4 with short message, group B 2 with short message for 5 days. Group C was treated with routine community intervention. The general data of patients were collected before intervention, and the compliance of patients was evaluated with Morisky evaluation scale at 3 and 6 months after intervention. Results the gender, age, grade of hypertension and course of disease of the 9 groups were identical, and the nationality, occupation, education, marital status, income level, living condition, medical insurance, blood pressure frequency, times of taking medicine were all the same in the 9 groups. There was no significant difference in the frequency of hospitalization and the sending of SMS except hypertension (P0.05). The compliance rate of patients in A1 and B1 groups, A2 and B2 groups, A3 and B3 groups, A4 and B4 groups was higher than that in C group. The difference was statistically significant (P0.05). There was no significant difference in compliance rate between A1 and B1 group, A2 and B2 group, A3 and B3 group, A4 and B4 group (P0.05). Conclusion telephone intervention and short message intervention can effectively improve the drug compliance of elderly patients with essential hypertension in community.
【作者单位】： 广西中医药大学护理学院;广西中医药大学附属瑞康医院北湖南棉社区卫生服务中心;广西中医药大学;广西医科大学第一附属医院;广西医科大学研究生学院;
【基金】：广西自然科学基金资助项目(2013GXNSFDA278001) 广西壮族自治区哲学社会科学研究课题(15BRK002) 广西壮族自治区教育厅中医药与养老产业发展研究协同创新中心研究课题(桂教科研[2013]10号) 广西壮族自治区卫生厅课题(Z2013250)
【分类号】：R544.11
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