家庭医生式服务对社区原发性高血压患者治疗依从性及控制率的影响

张丽红

[摘要] 目的 探討家庭医生式服务对社区原发性高血压患者治疗依从性及控制率的影响。 方法 选取2011年8月～2016年11月我社区卫生服务中心收治的原发性高血压患者200例作为研究对象，随机分为两组，对照组采用常规对症治疗，观察组在常规对症治疗基础上给予家庭医生式服务干预，对两组患者的病情进行了为期6个月的追踪调查，分析两组患者治疗依从性及控制率。 结果 观察组患者干预6个月后收缩压（129.6±7.3）mm Hg，舒张压（80.2±5.8）mm Hg；对照组收缩压（143.2±6.7）mm Hg，舒张压（90.5±8.4）mm Hg，观察组血压控制情况低于对照组（P<0.05）；干预后，两组患者高血压控制率以及配合治疗的依从性，均有所提高，其中观察组高血压控制率为90.0%，对照组为57.0%；观察组配合治疗的是93.0%，对照组63.0%，观察组明显高于对照组（P<0.05）。 结论 实施家庭医生服务，能够明显提高患者血压控制率和治疗依从性，对治疗高血压疾病有着较大帮助，是一项值得大力推广的、降低老年高血压患者发病率的有效措施。

[关键词] 家庭医生服务；原发性高血压；依从性；控制率

[中图分类号] R544.1 [文献标识码] A [文章编号] 2095-0616（2017）14-248-03

Effect of family doctor service on treatment compliance and control rate in community patients with essential hypertension

ZHANG Lihong

Baishizhou West Community Health Service Center， Shahe Hospital， Guangdong， Shenzhen 518053， China

[Abstract] Objective To explore the effect of family doctor service on treatment compliance and control rate in community patients with essential hypertension. Methods From August 2011 to November 2016， 200 patients with primary hypertension were enrolled in this study. They were randomly divided into two groups. Patients in control group were treated with routine symptomatic treatment. Patients in observation group were treated with routine symptomatic therapy on the basis of family doctorial service intervention. A period of 6 months follow-up survey was carried on the patients of the two groups. The treatment compliance and control rate of the two groups were analyzed. Results The systolic blood pressure （129.2 ± 7.3） mm Hg and diastolic blood pressure （80.2 ± 5.8） mm Hg were observed in the observation group after 6 months of intervention. The systolic blood pressure was （143.2 ± 6.7） mm Hg in the control group， and diastolic blood pressure was （90.5 ± 8.4） mm Hg in the control group （P<0.05）. After intervention， the control rate of hypertension and the compliance of the combination therapy were improved in the two groups， and the observation group had the control of high blood pressure control （P<0.05）， and the blood pressure was lower than that of the control group. The hypertension control rate of observation group was 90.0%， and the control group was 57.0%. The combined treatment rate of observation group was 93.0%， and the control group was 63.0%. The observation group was significantly higher than the control group， the difference was significant （P<0.05）， it was statistically significant. Conclusion The implementation of family doctor service can significantly improve the patients blood pressure control rate and treatment compliance. The treatment of hypertension has a greater help. It is worthy of promotion. It can reduce the incidence of elderly patients with hypertension effective measures.

[Key words] Family doctor service； Primary hypertension； Compliance； Control rate

研究显示，社区高血压患者普遍存在知识掌握水平低、血压控制效果差、服药依从性低、不重视非药物治疗等现象[1]，给社区高血压的控制带来了严峻挑战。老年高血压疾病发病率无法控制的原因很多，一般情况下，老年高血压患者缺乏预防这类疾病的知识，而且自我管理的能力较差，治疗依从性不高，所以，血压控制的效果并不好[2]。本文对实施家庭医生服务对老年高血压患者进行干预，旨在探讨家庭医生式服务对社区原发性高血压患者治疗依从性及控制率的影响，希望可以帮助医护人员找到降低老年高血压患者血压值的有效措施。

1 资料与方法

1.1 一般资料

选取2011年8月～2016年11月我社区卫生服务中心收治的原发性高血压患者200例作为研究对象，随机分为两组，每组100例，对照组中男59例，女41例；……