家庭医生责任制对社区高血压患者治疗依从性及治疗效果影响.docVIP

家庭医生责任制对社区高血压患者治疗依从性及治疗效果影响 　　[摘要] 目的 探讨家庭医生责任制对社区高血压患者治疗依从性及治疗效果的影响。 方法 选择本社区医院2013年1月～2014年1月收治的139例高血压患者，采用随机数字表法分为对照组（n=69，采用高血压常规诊疗措施）和观察组（n=70，在常规诊疗基础上实施家庭医生责任制管理），比较两组患者治疗依从性及治疗效果的差异。 结果 观察组饮食控制、定期血压监测、规律用药、合理运动、相关知识掌握等治疗依从性明显高于对照组（90.0% vs 36.2%，85.7% vs 46.4%，71.4% vs 33.3%，81.4% vs 43.5%，77.1% vs 36.2%，P0.05）。舒张压（DBP）、收缩压（SBP）等明显低于对照组[（82.57±4.42） vs （89.18±4.43），（134.59±5.33） vs （145.46±5.31） mm Hg]。 结论 家庭医生责任制显著提高了本社区高血压患者的健康知识知晓率及治疗依从性，有利于控制血压，值得临床推广。 　　[关键词] 高血压；家庭医生责任制；依从性；血压控制 　　[中图分类号] R199 [文献标识码] A [文章编号] 1674-4721（2015）07（a）-0024-03 　　Effects of responsibility system of family doctors on treatment compliance and treatment effects of patients with hypertension in communities 　　LUO Yun-fei 　　Department of General Practice，Shajing People′s Hospital of Bao′an District in Shenzhen City，Shenzhen 518104，China 　　[Abstract] Objective To explore the effects of responsibility system of family doctors on treatment compliance and treatment effects of patients with hypertension in communities. Methods 139 patients with hypertension who were admitted to our community hospital from January 2013 to January 2014 were selected.They were assigned to control group（n=69，applying regular diagnostic and treatment measures for hypertension） and observation group（n=70 applying management of responsibility system of family doctors on the basis of regular diagnosis and treatment） according to a random number table.Differences of treatment compliance and curative effects was compared between two groups of patients respectively. Results Treatment compliances in dietary control，regular monitoring of blood pressure，regular medication，proper physical exercise and mastery of related knowledge in observation group was significantly higher than that of control group respectively（90.0% vs 36.2%，85.7% vs 46.4%，71.4% vs 33.3%，81.4% vs 43.5%，77.1% vs 36.2%，P0.05）.DBP， SBP and other indices was significantly lower than that in control group respectively[（82.57±4.42） vs （89.18±4.