新慢病管理模式对高血压患者生活质量和就诊满意度影响效果研究

Research on the effect of new chronic disease management mode on quality of life and patient satisfaction of hypertensive patients

目的分析新慢病管理模式对高血压患者心理和生活质量的影响效果。方法选取在西安交通大学第二附属医院心血管内科住院且年龄在35岁以上的高血压患者(时间范围为2016年3月至2018年12月),随机数表法将300名原发性高血压患者分为新模式治疗组和常规治疗组。其中新模式治疗组162例,常规治疗组138例。新模式治疗组采用以护士为主导的新型慢病管理模式,常规治疗组采用常规处理。采用生命质量测定量表(QLICD-HY,2.0版)和《患者满意度调查表》等对患者干预措施实施前后的生活质量、心理和就诊满意度进行评估。结果新模式治疗组采用新模式干预后患者血压改善情况优于常规治疗组,新模式可提高患者高血压用药依从性,改善心理功能,患者就诊满意度高。结论新模式治疗可显著降低血压,提高生活质量,提升患者满意度,改善医患关系,值得在各级医院推广应用。

Objective To analyze the the psychological effect and quality of life for a new chronic disease management mode on hypertensive patients,we conducted this study.Methods Hypertensive patients admitted to the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Xi'an Jiaotong University(from March 2016 to December 2018)were selected,and 300 patients who were over 35 years old with essential hypertension enrolled in the group were divided into new mode treatment group and conventional treatment group by using the random number table method.There were 162 cases in the new mode treatment group and 138 cases in the conventional treatment group.The new mode treatment group used the new nurse-led chronic disease management,and the conventional treatment group used the the routine treatment.Quality of life(QLICD-HY,2.0)and patient satisfaction questionnaire were used to evaluate the quality of life,psychological and patient satisfaction before and after the implementation of intervention measures.Results The improvement of blood pressure of patients in the new mode treatment group was better than that in the conventional treatment group.The new mode could improve the medication compliance of patients with hypertension,improve psychological function,and the satisfaction of patients was high.Conclusion The new mode of treatment can significantly reduce blood pressure,improve the quality of life,enhance patient satisfaction and improve the doctor-patient relationship,