全科医生强化医疗干预对高血压患者服药依从性影响.docVIP

全科医生强化医疗干预对高血压患者服药依从性影响 　　摘 要 目的：探讨全科医师的强化医疗干预对社区高血压患者服药依从性和血压的影响。方法：从社区流行病学调查数据中获得的血压未控制的高血压患者161例，分为干预组76例，其中男性32例，女性44例，平均年龄（64.09±6.74）岁；对照组85例，其中男性41例，女性44例，平均年龄（64.11±6.27）岁。干预组实施强化干预方案，对照组实施社区常规管理。结果：干预后，干预组患者服药依从性指标均比干预前有明显提高，差异有统计学意义（N0.05）；干预组患者的收缩压，舒张压平均水平均比干预前有明显下降，差异有统计学意义（P0.05）；干预组患者血压控制达标率明显高于对照组，差异有统计学意义（P0.05）。结论：全科医生社区强化医疗干预后高血压患者服药依从性和血压控制情况明显得到改善。 　　关键词 高血压；全科医生；强化医疗干预；服药依从性 　　中图分类号：R544.1 文献标志码：A 文章编号：1006-1533（2018）06-0043-03 　　Effect of intensive medical intervention of the general practitioner on medication compliance of patients with hypertension 　　DUAN Liping 　　（Miaohang Community Health Service Center of Baoshan District， Shanghai 200433， China） 　　ABSTRACT Objective： To explore the effect of the intensive medical intervention of the general practitioner on the medication compliance and blood pressure of the hypertensive patients in the community. Methods： A total of 161 hypertensive patients with uncontrolled blood pressure were obtained from the data of the community epidemiological survey and divided into an intervention group with 76 cases， including 32 male and 44 female， with an average age of （64.09±6.74） years； and a control group with 85 cases， of whom 41 were male and 44 were female， and the average age was （64.11±6.27） years. The intervention group implemented the intensive intervention program， and the control group implemented the community routine management. Results： After the intervention， the compliance index of the patients of the intervention group was markedly higher than that before the intervention， the difference was statistically significant（P0.05）； the mean levels of the systolic blood pressure and diastolic blood pressure of the patients of the intervention group were decreased significantly after the intervention than before the intervention， and the difference was statistically significant（P0.05）； the rate of blood pressure control in the intervention group was significantly higher than that in the contr