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Influence of family doctor team intervention on the treatment compliance of patients with hypertension in the community |
XIAO Qiu-yan YU Ming NIE Lei |
Department of General Medicine, Huazhong University of Science and Technology Union Shenzhen Hospital, Guangdong Province, Shenzhen 518052, China |
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Abstract Objective To explore the influence of family doctor team intervention on the treatment compliance of patients with hypertension in the community. Methods From January 2019 to January 2020, 242 patients with hypertension with low compliance registered and managed in the Tongle North Community Health Service Center were selected.The patients were divided into the control group (121 cases) and the intervention group (121 cases) by the random number table method. The control group was given routine health education, while the intervention group was given community family doctor team intervention. After the intervention, a questionnaire was conducted again to observe and compare the compliance of each item and the regulation of blood pressure between the two groups. Results After the intervention, the blood pressure of the intervention group was lower than that of the control group, the difference was statistically significant (P<0.05). After the intervention, the treatment compliance scores of the two groups were higher than those before the intervention, and the differences were statistically significant (P<0.05). The treatment compliance score in the intervention group after intervention was higher than that in the control group, and the difference was statistically significant (P<0.05). After the intervention, the compliance scores of patients in the intervention group in term of compliance with doctors and drug-taking behaviors, daily life management eating behaviors, other daily life management behaviors, and tobacco and alcohol addiction management behaviors were all higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Family doctor team intervention can improve the compliance of hypertensive patients in the community, thus more effective control of blood pressure.
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[1] |
李睿琳,杨连招,陈玲,等.南宁市西乡塘区老年高血压患者非药物治疗依从性与社会支持的关系及其影响因素[J].医学与社会,2020,33(12):52-57.
|
[2] |
《中国高血压防治指南》修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
|
[3] |
王亚鹏.社区高血压患者自我护理能力及治疗依从性分析[J].现代医药卫生,2020,36(3):400-403.
|
[4] |
沈贤,马骁一,龚张珺,等.上海市崇明区老年高血压患者用药依从性的影响因素分析及对策[J].药物流行病学杂志,2019,25(8):511-517.
|
[5] |
石嫣,周晴,申宁宁,等.齐齐哈尔市某区老年高血压患者治疗依从性、治疗态度与信念及医疗社会支持的关系[J].医学与社会,2019,32(4):90-94.
|
[6] |
张林兄.慢性病健康管理应用于老年高血压患者护理工作的效果观察[J].现代医学与健康研究(电子版),2019,3(18):130-131.
|
[7] |
Bonnici T,Gerry S,Wong D,et al.Evaluation of the effects of implementing an electronic early warning score system:protocol for a stepped wedge study[J].BMC Med Inform Decis Mak,2016,16:19.
|
[8] |
Nishijima I,Oyadomari S,Maedomari S,et al.Use of a modified early warnings core system to reduce the rate of inhospital cardiac arrest[J].J Intensive Care,2016,4:12.
|
[9] |
LahdenperTS,Wright CC,Kyngs HA.Development of a scale to assess the compliance of hypertensive patients[J].Int J Nurs Stud,2003,40(7):677-684.
|
[10] |
沈志莹,丁四清,钟竹青.高血压患者服药依从性自我效能量表修订版的汉化及信度效度评价[J].中国护理管理,2020,24(7):985-989.
|
[11] |
刘琼,徐立新,陈建根.家庭医生团队个体化管理策略在社区高血压患者中的应用效果[J].中国慢性病预防与控制,2015,23(9):719-720.
|
[12] |
许日祥,沐婷玉,倪晓莉,等.中国高血压患者用药依从性的meta 分析[J].中国现代应用药学,2020,37(19):2383-2389.
|
[13] |
何青华,郑晶,刘佳丽,等.基于计划行为理论的服药依从性影响因素问卷的信效度研究[J].解放军护理杂志,2019,36(7):31-35.
|
[14] |
孙晓蕾.社区健康教育护理干预模式对高血压患者的生活质量与治疗依从性的影响分析[J].贵州医药,2019,43(6):1002-1004.
|
[15] |
王娟.社区卫生服务中心药学干预对高血压患者用药疗效及依从性的影响研究[J].世界最新医学信息文摘(连续型电子期刊),2019,19(43):213,216.
|
[16] |
杨萍,顾红军,彭爱君,等.“1+1+1”家庭医生签约服务模式对社区老年高血压患者服药依从性及血压控制达标的影响[J].中国处方药,2020,18(12):14-16.
|
[17] |
李楠楠.家庭医生签约式干预对社区高血压患者血压控制效果及服药依从性的影响分析[J].中国社区医师,2019,35(19):171,174.
|
[18] |
王天宇.社区高血压患者药物治疗依从性的影响因素及干预探究[J].中国社区医师,2019,35(9):9,12.
|
|
|
|