家庭医生签约服务对高血压患者治疗依从性及生活质量的影响

The Influence of contracted family doctor services on treatment compliance and quality of life in patients with hypertension

目的:了解天津市家庭医生签约服务对高血压患者治疗依从性及生活质量的影响。方法:选取10个开展家庭医生签约服务的社区,并对其中212例高血压患者进行问卷调查。其中未签订家庭医生服务的患者94例,已经完成签约(≥1个月)的患者118例。结果:签约组患者的血压控制情况好于未签约组,差异具有统计学意义(χ^(2)=17.457,P<0.001)。签约组与未签约组患者的生活质量得分分别为(195.35±13.457)分、(160.07±19.322)分,差异具有统计学意义(t=15.640,P<0.001)。结论:家庭医生责任制可提高患者治疗依从性,有效控制高血压患者的血压情况,改善其生活质量。

Objective:To investigate the effect of contracted family doctor services on treatment compliance and quality of life in patients with hypertension in Tianjin.Methods:A questionnaire survey was conducted among 212 hypertensive patients in 10 communities with contracted family doctor services.94 patients had not signed up for family doctor services,while 118 patients had signed up(≥1 month).Results:The blood pressure control of patients in the signing group was better than that of patients in the non-signing group,and the difference was statistically significant(P<0.001).The scores of life quality in the signing group and the non-signing group were 195.35±13.457 and 160.07±19.322,respectively,and the difference was statistically significant(P<0.001).Conclusion:The responsibility system of family doctor can effectively control the blood pressure of hypertensive patients and improve their life quality.