高血压患者接受家庭医生签约服务对其健康管理的影响研究

Study on effect of family doctor contract service on health management of hypertensive patients

目的研究高血压患者接受家庭医生签约服务对其健康管理的影响。方法 90例本社区高血压患者,按照随机数字表法分为研究组和对照组,每组45例。研究组接受家庭医生签约服务,对照组接受传统常规普通门诊服务,比较两组患者干预前后收缩压、舒张压、总胆固醇、空腹血糖、甘油三酯等临床指标水平以及患者自我健康管理能力。结果干预前,两组患者舒张压、收缩压比较差异无统计学意义(P>0.05);干预后,研究组患者舒张压、收缩压水平分别为(85±7)、(132±11)mm Hg(1 mm Hg=0.133 k Pa),优于对照组的(97±6)、(153±12)mm Hg,差异有统计学意义(P<0.05)。两组患者干预前后总胆固醇、空腹血糖、甘油三酯水平比较差异均无统计学意义(P>0.05)。研究组患者合理饮食、血压监测、治疗依从性、定期运动、情绪控制等自我管理能力明显优于对照组,差异均有统计学意义(P<0.05)。结论将家庭医生签约服务用于社区高血压患者临床治疗中,能够有效控制患者血压水平变化情况,同时提高患者自我健康管理能力,服务方案应用价值突出。

Objective To study the effect of family doctor contract service on health management of hypertensive patients. Methods A total of 90 community hypertensive patients were divided by random number table method into research group and control group, with 45 cases in each group. The research group received family doctor contract service, and the control group received traditional routine general outpatient services. Comparison were made on systolic blood pressure, diastolic blood pressure, total cholesterol, fasting blood glucose, triglyceride before and after intervention, and self-health management ability between the two groups. Results Before intervention, both groups had no statistically significant difference in systolic blood pressure and diastolic blood pressure（P〈0.05）. After intervention, the research group had systolic blood pressure and diastolic blood pressure respectively as（85±7） and（132±11） mm Hg（1 mm Hg=0.133 k Pa）, which were all better than（97±6） and（153±12） mm Hg in the control group, and their difference was statistically significant（P〈0.05）. Both groups had no statistically significant difference in total cholesterol, fasting blood glucose and triglyceride before and after intervention（P〉0.05）. The research group had obviously better self-health management ability（reasonable diet, blood pressure monitoring, treatment compliance, regular exercise, and emotional control） than the control group, and their difference was statistically significant（P〈0.05）. Conclusion Application of family doctor contract service in clinical treatment of community hypertensive patients, and it can effectively control the change of blood pressure level and improve the self-health management ability of patients, and the application value of service program is outstanding.