家庭医生制服务对高血压患者家庭管理的效果评价研究

Effect of Family Doctor Responsibility System on Family Management of Patients with Hypertension

目的评价家庭医生制服务对高血压患者家庭管理的效果。方法采用分层抽样的方法,选取红庄和左家宅两社区的高血压患者100例,采用分层随机抽样方法分为两组,对照组和干预组各50例。对照组采用传统的高血压管理模式进行管理,干预组采用家庭医生制服务模式进行管理。对两组患者实验室指标、高血压防治知识知晓率、家庭医生制服务知晓率、家庭医生制服务满意度等进行比较。结果干预后,两组患者的收缩压、舒张压比较,差异均有统计学意义(P<0.05);其他指标包括空腹血糖、尿微量清蛋白、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)和三酰甘油(TG)等差异均无统计学意义(P>0.05)。干预后,干预组患者的高血压防治知识知晓率较对照组提高,差异有统计学意义(P<0.05)。干预组患者的家庭医生制服务知晓率和满意度较对照组提高,差异有统计学意义(P<0.05)。结论采用家庭医生制服务模式对社区高血压患者实施管理,可显著改善患者的家庭管理效果。

Objective To evaluate the effect of family doctor responsibility system on family management of patients with hypertension.Methods Totally 100 patients with hypertension recruited by cluster smpling in Hongzhuang and Zuojiazhai communities were randomly divided into control group（n=50） and trial group（n=50）.Patients in the control group were managed with the traditional management modes,while patients in the trial group were managed with family doctor responsibility system.The laboratory indices,patients′ awareness rates of knowledge on hypertension and the system,and the satisfaction degree between the two groups were compared.Results After the intervention,the differences in both systolic and diastolic blood pressures were statistically significant between the two groups（P0.05）,however no significant difference was found between the two groups in fasting blood sugar,mirco-albuminuria,low-density lipoprotein,high density lipoprotein,and triglyceride（P0.05）.The awareness rate of knowledge on hypertension was higher in the trial group than in the control group（P0.05）,and so were in awareness rate the family doctor responsibility system and the satisfaction degree（P0.05）.Conclusion The service mode of family doctor responsibility system can remarkably raise the effectiveness of family management for patients with hypertension.