家庭病床服务模式下高血压患者的防治效果探究

Exploration of Prevention and Treatment Effect of Hypertensive Patients Under Homecare Bed Service Mode

目的:探究家庭病床服务模式下高血压患者的防治效果。方法:收集上海市浦东新区祝桥社区卫生服务中心收治的223例高血压患者为研究对象,随机分成观察组和对照组。对照组采用电话随访管理模式,观察组采用家庭病床服务模式进行管理,比较两组自我管理行为量表评分、遵医行为情况、血压水平。结果:治疗前,两组治疗维度、社会心理维度、躯体活动维度、饮食行为维度评分及总分比较,差异无统计学意义(P>0.05)。治疗后,观察组治疗维度、社会心理维度评分及总分高于对照组,差异有统计学意义(P=0.000);两组躯体活动维度、饮食行为评分比较,差异无统计学意义(P>0.05);观察组按时服药、完成系统治疗、并发症的预防、按时复诊、合理功能锻炼、合理饮食、良好生活方式、保持乐观情绪、对自身疾病认识方面占比均高于对照组,差异有统计学意义(P=0.000)。治疗前,两组收缩压、舒张压比较,差异无统计学意义(P>0.05);治疗后,观察组收缩压、舒张压低于对照组,差异有统计学意义(P=0.000)。结论:家庭病床服务模式可以提高高血压患者的自我管理能力和遵医行为水平,明显降低高血压患者的血压水平,疗效显著。

Objective:To explore the prevention and treatment effect of hypertensive patients under the homecare bed service mode.Methods:A total of 223 hypertensive patients in the Zhuqiao Community Health Service Center of Pudong New Area of Shanghai were collected as the study subjects,and they were randomly divided into the observation group and the control group.The control group was managed by telephone follow-up,while the observation group was managed by homecare bed service.The self-management behavior scale scores,compliance behavior,and blood pressure levels in two groups were compared.Results:Before treatment,there were no significant differences in the scores of treatment dimension,psychosocial dimension,physical activity dimension,dietary behavior dimension and the total scores between the two groups(P>0.05).After treatment,the scores of treatment dimension and psychosocial dimension and the total scores in the observation group were higher than those in the control group,and the difference was statistically significant(P=0.000).There was no significant difference in the scores of physical activity dimension and dietary behavior between the two groups(P>0.05).The proportions of taking medicine on time,completing systematic treatment,preventing complications,timely follow-up,reasonable functional exercise,reasonable diet,good lifestyle,keeping optimistic mood,and understanding their own diseases in the observation group were all higher than those in the control group,and the differences were statistically significant(P=0.000).Before treatment,there was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).After treatment,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group,and the difference was statistically significant(P=0.000).Conclusion:The homecare bed service mode can improve the self-management ability and compliance behavior of patients with hypertension,and can significantly reduce the blood pressure level of patients with hypertension.The effect is significant.