家庭医生签约联合健康教育对社区高血压患者治疗依从性及用药指导的干预效果及护理

马新影

【摘要】目的：探讨家庭医生签约联合健康教育对社区高血压患者治疗依从性及用药指导的干预效果及护理。方法：选取符合条件的社区高血压患者90例，分为观察组（家庭医生签约联合健康教育）与对照组（常规家庭护理）。比较两组的以下三部分指标，包括服药依从性、血压控制效果以及生活质量。结果：家庭医生签约联合健康教育的干预前，两组相关指标差异不显著;在干预后，观察组的服药依从性高于对照组，血压水平明显低于对照组（P<0.05）。结论：家庭医生签约联合健康教育能有效的控制社区高血压患者的病情以及患者的生活质量。

【关键词】家庭医生签约联合健康教育;高血压患者;依从性;干预效果

【Abstract 】Objective： To explore the intervention effect and nursing of family doctors' contract and joint health education on the treatment compliance and medication guidance of hypertensive patients in the community. Methods： Ninety eligible patients with hypertension in the community were selected and divided into observation group （family doctors contracted for joint health education） and control group （routine home care）. The following three indicators of the two groups were compared， including medication compliance， blood pressure control effect， and quality of life. Results： Before the family doctor signed the joint health education intervention， there was no significant difference in related indicators between the two groups; after the intervention， the medication compliance of the observation group was higher than that of the control group， the blood pressure level was significantly lower than that of the control group （P<0.05）. Conclusion： Family doctors signing joint health education can effectively control the condition of hypertensive patients in the community and the quality of life of patients.

【Keywords】family doctors contract joint health education; patients with hypertension; compliance; intervention effect

高血压近几年呈不断上升趋势。有相关学者表示，高血压患者的病情不能得到有效控制的原因很多，一般就是缺乏相关知识，自我约束能力较差等。健康教育对于社区高血压患者的治疗起着不可或缺的作用。因此，加强对高血压患者家庭医生签约联合健康教育的方式治疗，从而提高高血压的治疗效果不失为一种有效的治疗方式，本研究针对家庭医生签约联合健康教育的治疗方式对社区高血压患者的病情恢复的相关指标情况进行分析，探讨该方法对高血压患者治疗效果的影响，期望能够探索出有效的治疗方法能够应用于高血压的治疗。报道如下。

1 资料与方法

1.1 一般资料

选取符合条件的社区高血压患者90例，家庭医生签约联合健康教育为观察组，患者人数为45例，常规家庭护理为对照组，患者人数45例。……