家庭医生团队服务模式对居家治疗高血压患者治疗依从性和睡眠质量的影响研究

刘然 梁春杰 郭珊

摘要目的：家庭医生团队服务模式对居家治疗高血压患者治疗依从性和睡眠质量的影响研究。方法：选取2018年6月至2019年12月丰台区卢沟桥社区卫生服务中心收治的高血压患者160例作为研究对象，按照随机数字表法分为观察组和对照组，每组80例。对照组接受常规护理，观察组采用家庭医生团队护理。结果：2组患者治疗前的SBP和DBP，Morisky评分，PSQI量表得分比较，差异无统计学意义（P>005）;治疗后观察组的SBP，DBP和PSQI量表得分显著低于对照组，差异有统计学意义（P<005），Morisky评分显著高于对照组，差异有统计学意义（P<005）。结论：家庭医生团队服务模式治疗高血压效果好，值得进一步研究和推广。

关键词高血压;护理;依从性;睡眠质量

Study on the Effect of Family Doctor Team Service Mode on Treatment Compliance and Sleep Quality in Patients with Hypertension Treated at Home

LIU Ran，LIANG Chunjie，GUO Shan

（Lugouqiao Community Health Service Center，Fengtai District，Beijing 100141，China）

AbstractObjective：To study the effect of family doctor service team on the treatment compliance and sleep quality of hypertension patients treated at homeMethods：A total of 160 patients with hypertension who were treated in our hospital from June 2018 to December 2019 were taken as the treatment objectsAccording to the random number table method，they were divided into observation group and control group，with 80 cases in each groupThe control group received routine care and the observation group received family doctor careResults：There was no significant difference in SBP and DBP，Morisky score and PSQI score between the two groups before treatment（P>005）After treatment，SBP，DBP and PSQI in the observation group were significantly lower than that in the control groupMorisky was significantly higher than that in the control group（P<005）Conclusion：Family doctor service is effective in the treatment of hypertension，which is worthy of further research and promotion.

KeywordsHypertension; Nursing; Compliance; Sleep quality

中圖分类号：R5441;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.076

高血压是一种常见的高发的慢性疾病，是冠心病、脑卒中等疾病的危险因素[1]。全球高血压患者约10亿，我国约有2亿高血压患者，≥60岁人群高血压的患病率约为50%。虽然高血压发病率很高，但控制率仅为8%左右[23]。传统的就医模式是患者出院后就意味着医患关系的终结，患者在出院后如果想得到进一步治疗，只能重新回到医院。事实上，高血压患者的大部分时间是在家庭和社区度过，需要长久、持续药物治疗[45]。如何发挥社区的作用对于高血压的控制显得十分重要。家庭医生制度是医改的重要举措，本文旨在探讨家庭医生团队服务模式对居家治疗高血压患者治疗依从性和睡眠质量的影响，现将结果报道如下。

1资料与方法

11一般资料选取2018年6月至2019年12月丰台区卢沟桥社区卫生服务中心收治的高血压患者160例作为研究对象，按照随机数字表法分为观察组和对照组，每组80例。对照……