医联体模式下健康管理干预对稳定型心绞痛伴高血压患者西雅图心绞痛量表评分及健康行为能力的影响

The Effect of Health Management Intervention under the Medical Consortium Model on the Seattle Angina Pectoris Scale Score and Healthy Behavior Ability of Patients with Stable Angina and Hypertension

目的:探讨在医联体模式下健康管理干预对稳定型心绞痛伴高血压患者西雅图心绞痛量表(SAQ)评分及健康行为能力的影响。方法:选取2018年5月—2019年5月南阳市第一人民医院及市区内1家社区卫生服务中心作为研究地点,观察组的40例患者来自参与医联体模式社区服务中心,对照组的40例患者来自未参与医联体模式的社区服务中心。观察组给予医联体模式下健康管理干预,对照组采用常规护理。比较两组患者干预前后SAQ评分、心绞痛发作次数及持续时间、血脂水平、健康管理质量。结果:管理后观察组患者SAQ评分高于对照组,差异有统计学意义(t=3.919、6.575、4.868、5.467、6.044,P<0.05)。观察组患者心绞痛发作次数低于对照组,差异有统计学意义(t=24.571,P<0.05);发作持续时间低于对照组,差异有统计学意义(t=9.962,P<0.05)。两组患者管理后血脂水平均有下降,观察组下降比对照组明显,差异有统计学意义(t=4.285、3.199、2.448,P<0.05)。观察组的高血压治疗率、血压达标率及治疗依从性都高于对照组,差异有统计学意义(χ^(2)=5.165、0.457、4.588,P<0.05)。结论:医联体模式下健康管理干预对稳定型心绞痛伴高血压患者可提高患者SAQ评分,有效减少患者心绞痛发作次数,健康管理质量更高。

Objective:To explore the effect of health management intervention on the Seattle Angina Pectoris Scale(SAQ)score and healthy behavior ability of patients with stable angina and hypertension under the medical consortium model.Methods:From May 2018 to May 2019,Nanyang first people’s hospital and a community health service center were selected as the research site.40 patients in the observation group came from community service centers that participated in the medical consortium model,and 40 patients in the control group came from community service centers that did not participate in the medical consortium mod⁃el.The observation group was given health management intervention under the medical consortium model,and the control group was given routine care.The SAQ scores,the number and duration of angina pectoris,blood lipid levels,and the quality of health management were compared between the two groups before and after intervention.Results:After management,the SAQ score of the observation group was higher than that of the control group,and the difference was statistically significant(t=3.919,6.575,4.868,5.467,6.044,P<0.05).The number of episodes of angina pectoris in the observation group was lower than that in the con⁃trol group,and the difference was statistically significant(t=24.571,P<0.05).The duration of onset was lower than that of the con⁃trol group(t=9.962,P<0.05).The blood lipid levels of the two groups of patients decreased after management,and the decrease in the observation group was more significant than that in the control group,and the difference was statistically significant(t=4.285,3.199,2.448,P<0.05).The treatment rate of hypertension,blood pressure compliance rate and treatment compliance of the obser⁃vation group were higher than those of the control group,and the difference was statistically significant(χ^(2)=5.165,0.457,4.588,P<0.05).Conclusion:Health management intervention under the medical consortium model can improve the SAQ score of patients with stable angina and hypertension,effectively reduce the number of patients with angina pectoris,and improve the quality of health management.