家庭医生签约服务结合药物治疗对高血压患者生存质量影响的研究

Effect of family doctor ＆#39;s contract service combined with drug therapy on quality of life of hypertensive patients

目的 探讨家庭医生签约服务结合药物治疗对高血压患者生存质量的影响。方法 选取2016年5月-2017年5月在我市某区某街道3个社区卫生服务站门诊确诊为高血压病的患者840例,均给予苯磺酸氨氯地平片治疗,并实施常规健康管理和社区干预。按是否接受家庭医生签约服务分为观察组（共435例）和对照组（共405例）。采用健康状况调查问卷（SF-36量表）评定2组患者干预前后的生存质量,比较2组患者治疗前后的血压控制和生活质量改善情况。结果 干预前2组患者的血压水平比较差异无统计学意义,干预后观察组患者的收缩压和舒张压控制情况均优于对照组（P〈0.05）。治疗前2组患者SF-36量表生理机能、生理职能、躯体疼痛、总体健康、精神健康、精力、社会功能、情感职能和总评分比较差异均无统计学意义,经治疗后观察组各维度评分均显著高于干预前和干预后的对照组（P〈0.05）。结论 家庭医生签约服务结合药物治疗可有效控制患者血压水平,改善其生存质量。

Objective To explore the effect of family doctor contracting service combined with drug therapy on the quality of life of patients with hypertension. Methods Selected in May 2016 to May 2017 in a city in a district of three community health service center clinics diagnosed with hypertension in patients with 840 cases, were given amlodipine besylate tablets treatment, and the implementation of conventional health management And community intervention. According to whether or not to accept the family doctor contract service is divided into observation group （a total of 435 cases） and the control group （a total of 405 cases）. Health status questionnaire （SF-36） was used to assess the quality of life before and after the intervention, and the blood pressure control and quality of life improvement were compared between the two groups before and after treatment.Results There was no significant difference in the blood pressure level between the two groups before treatment. The systolic and diastolic blood pressure in the observation group were better than those in the control group （P〈0.05）. There were no significant differences in physiological function, physiological function, physical pain, general health, mental health, energy, social function, affective function and total score of SF-36 before treatment. The scores of the observation group were significantly higher than those of the control group before and after treatment. The difference was statistically significant （P〈0.05）. Conclusion Family doctor contract service combined with drug therapy can effectively control the patient＆#39;s blood pressure levels, improve the quality of life.