电话随访与家庭访视干预社区高血压效果评价

Effect evaluation of telephone follow-up and family-call in the intervention of community hypertension

目的:比较电话随访与家庭访视在干预高血压中的效果。方法:选择原发性高血压患者1 114例,随机分为电话随访组(A组)和家庭访视组(B组),每组557例。A组给予电话随访,B组给予家庭访视,对患者的不良生活方式进行干预,然后对随访成功的患者给予二次随访。比较两种随访方式干预前后的效果。结果:B组除体重指数、吸烟及饮酒项目外,其他各项差异均有统计学意义(P<0.05)。结论:家庭访视效果好,遵医行为好,干预性强,但效率低,失访率高。电话随访效率高,失访率相对较低,但效果差,遵医行为差,信息失真,干预性弱。

Objective:To compare the effects of telephone follow-up and family-call in the intervention of hypertension.Methods:1114 patients with essential hypertension were selected.They were randomly divided into the telephone follow-up group(A group)and family-call group(B group) with 557 cases in each.A group was given telephone follow-up.B group was given family-call.The unhealthy life styles of patients were intervented,then the follow-up successful patients were given two times follow-up.The effects of two follow-up types were compared before and after intervention.Results:In addition to the body mass index,smoking and drinking,other items of B group were statistically significant difference(P<0.05).Conclusion:The family-call has good effect,good compliance behavior,strong intervention,but its efficiency is low,the dropout rate is high.The telephone follow-up has high efficiency,relatively lower dropout rate,but its effect is poor,the compliance behavior is poor,the information is anamorphic,the intervention is weak.