社区高血压患者随访护理的影响因素调查

Investigation on influencing factors of follow-up care among community hypertension patients

目的分析影响社区高血压患者随访护理效果的相关因素,为提高社区高血压随访护理服务提供依据。方法选取高血压患者246例,为患者提供分组授课、电话随访、家庭随访、建立QQ群等为期1 a的随访护理,运用自制调查问卷,从4方面评价随访护理效果;收集整理调查结果,对其影响因素进行分析评价。结果心理调整与年龄、职业、居住情况、病程、并发症有关(P<0.05或P<0.01),用药依从性与性别、年龄、职业、文化程度、病程、并发症有关(P<0.05或P<0.01),遵医行为与年龄、职业、居住情况、病程有关(P<0.05或P<0.01),随访护理满意度与性别、年龄、文化程度、并发症有关(P<0.05或P<0.01)。经二元logistic回归分析显示,性别、职业、居住情况、病程会对随访护理效果造成影响。结论随访护理效果与患者性别、职业、居住情况、病程有关,故针对不同患者应给予不同护理措施。

[Objective] To analyze the influencing factors of follow-up care effect among community hypertension patients,provide the basis for improving the community hypertension follow-up care service.[Methods]246 hypertension patients were given the follow-up care for one year,including group instruction,telephone follow-up,family follow-up,and establishing the QQ group. A self-made questionnaire was used to evaluate the follow-up care effect from four aspects. The investigation results were collected to evaluate and analyze the influencing factors.[Results]The psychological adjustment was related to age,occupation,living condition,course of disease and complications（P〈0.05 or P〈0.01）. The medication compliance was related to gender,age,occupation,educational level,course of disease and complications（P 〈0.05 or P 〈0.01）. The compliance behavior was related to age,occupation,living conditions,and course of the disease（P〈0.05 or P〈0.01）. The satisfaction to follow-up care was related to gender,age,educational level and complications（P 〈0.05 or P〈 0.01）. The logistic regression results showed that gender,age,living conditions,course of the disease,and complications were the factors influenced the effect of follow-up care.[Conclusion]The effect of follow-up care is related to gender,occupation,living conditions,and course of the disease in patients,so it is important to take the nursing measures according to the characteristics of patients.