家庭医生服务对老年高血压患者血压控制的影响

Influence of family doctor service of controlling blood pressure of elderly hypertension patients

目的综合评价家庭式医生服务对老年高血压患者血压控制及医疗满意度的影响。方法随机选取2015年1~12月于我院检查并确诊的老年高血压患者100例作为研究对象,随机分为对照组和观察组,每组各50例。对照组患者给予高血压常规治疗,而观察组按高血压管理规范由家庭医生团队行规范管理。评价患者干预前后对相关高血压知识知晓情况、血压控制情况、生活质量及满意度情况。结果经家庭医生规范干预后观察组患者高血压常识知晓率明显高于对照组(P<0.05);观察组患者干预3个月后平均舒张压为(87.4±12.1)mm Hg,平均收缩压为(135.4±15.1)mm Hg,均低于对照组(P<0.05);观察组患者生活方式(10.28±1.28)、自我效能感(23.86±4.36)和主观幸福感(13.86±3.18)评分均高于对照组(P<0.05);观察组患者医疗总满意度为100%,明显高于对照组(P<0.05)。结论家庭医生服务模式应用于老年高血压患者能更好控制血压,提高生活质量,提升医疗依从性,值得社区保健借鉴。

Objective To evaluate the influence of family doctor service mode for controlling blood tension and medical satisfaction in elderly hypertension patients. Methods 100 elderly patients with hypertension evaluated in our hospital from January 2015 to December 2015 were selected as the study objects,and they were randomly divided into control group and observation grouop with 50 cases in each. Patients in control group were given routine therapy for hypertension, and patients in observation group were treated with the family doctor team management. Patients blood pressure, quality of life and satisfaction were evaluated after merit. Results The awareness rate of hypertension in observation group was significantly higher than that in control group after the intervention by the family doctor （P 〈 0.05）. After the three months intervention, the average diastolic blood pressure in the observation group was （87.4 ±12.1）mm Hg, the average systolic blood pressure was （135.4±15.1）mm Hg, which were lower than those of the control group（P 〈 0.05）. Patients＇ life style （10.28 ± 1.28）, self-efficacy （23.86 ±4.36） and subjective well-being （13.86 ±3.18） scores of observation group were higher than control group（P 〈 0.05）. The total medical satisfaction of patients in observation group was 100%, which was significantly higher than the control group（P 〈 0.05）. Conclusion The family doctor service mode to elderly patients with high blood pressure can better control blood pressure, improve the quality of life, and improve medical compliance. It is worthy of reference for community care.