家庭医生签约服务模式对社区高血压患者管理效果

The Effect of Family Physician Contract Service Model in the Management of Patients With Hypertension

目的探讨家庭医生签约服务对社区高血压患者管理效果。方法本研究选取2016年1月—2017年6月该社区的300例高血压患者为研究对象,以随机数字表法分为观察组(n=150)和对照组(n=150),观察组患者实施家庭医生签约服务管理,对照组实施常规管理,对比分析两组患者的管理效果。结果两组患者管理前血压对比差异无统计学意义(P>0.05),管理后观察组收缩压、舒张压分别为(126.20±5.33)、(73.20±8.39)mm Hg,低于对照组,血压控制水平差异具有统计学意义(P<0.05)。观察组管理后在生活方式和治疗依从性方面较对照组优,数据对比差异有统计学意义(P<0.05)。结论家庭医生签约服务能控制社区高血压患者的血压水平,提高患者的治疗依从性,在社区应用价值较显著。

Objective To explore the management effect of family physician contract service on patients with hypertension. Methods The study selected 300 patients with hypertension in the area from January 2016 to June 2017. The random number table method was used to divided the patients into observation group （n=150） and control group （n=150）. The patients in the observation group was given the management of the family physician contract service, the control group was given the routine management, and the management effect of the two groups was compared. Results There was no statistically significant difference in blood pressure between the two groups betbre management （P 〉 0.05）. After management, the systolic blood pressure and diastolic blood pressure in observation group were respectively （126.20±5.33）, （73.20±8.39） mmHg, significantly lower than the control group （P 〈 0.05）. After management, the life style and treatment compliance in observation group were significantly better than control group（P 〈 0.05）. Conclusion The family physician contract service can obviously control the blood pressure level of the patients with hypertension in the community, improve the treatment compliance of the patients, and the clinical application value is significant.