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中国初级卫生保健:2020,34(5):57-59
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“1+1+1”组合签约模式下家庭医生服务 应用于高血压患者管理的效果观察
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中文摘要: 目的 研究分析“1+1+1”组合签约模式下家庭医生服务应用于高血压患者管理的效果,为临床提高高血压患者的生活 质量提供理论依据。方法 于2016年7月—2018年7月期间,选取成都市温江区人民医院310例高血压患者作为研究对象,根 据护理模式的不同分为采取“1+1+1”组合签约模式下家庭医生服务模式的试验组和采取常规高血压健康管理干预的对照组,每 组各105例,比较干预前后两组患者的生活质量、抑郁情况、日常生活活动能力、睡眠质量和护理服务过程的依从性及满意度 等指标的统计学差异。结果 试验组患者干预后的生活质量各项目的检测均优于对照组患者,差异均具有统计学意义(P< 0.05);且干预后,试验组患者的抑郁情况、活动能力以及睡眠质量得分明显优于对照组,差异均具有统计学意义(P<0.05); 在护理服务过程中,试验组患者的依从性以及对护理的满意度均优于对照组,差异均具有统计学意义(P<0.05)。结论 将1+ 1+1”组合签约模式下家庭医生服务应用于高血压患者管理,有利于提高高血压患者的生活质量,同时大大提升了高血压患者 的满意度,更有利于高血压患者的康复,提高生命质量,值得推广。
Abstract:OBJECTIVE It analyzed the effect of family doctor service applied to the management of hypertension patients under the“1+ 1+1”combined contract mode, and provided theoretical basis for improving the quality of life of hypertension patients. METHODS During July 2016 to July 2018,it selected 310 cases of patients with high blood pressure as the research object,according to the di⁃ vided into take care mode“1+1+1”combination, contract mode family doctor service mode of the experimental group and take regu⁃ lar hypertension health management intervention of the control group (105 cases for each group) compared two groups of patients be⁃ fore and after the intervention of the quality of life, depression, daily life activities ability and quality of sleep, and nursing ser⁃ vice process compliance and satisfaction index of statistical difference. RESULTS After intervention, the quality of life of patients in the experimental group served by family doctors under the“1+1+1”combined contract mode was better than that of patients in the control group receiving routine nursing, and the difference was statistically significant (P<0.05). After the intervention, the scores of depression,activity ability and sleep quality of the experimental group were significantly better than the control group, with statistically significant differences(P<0.05). In the process of nursing services, the patient compliance of the experimental group and satisfaction with nursing were better than those of the control group, and the differences were statistically significant(P< 0.05). CONCLUSION The application of family doctor service in the management of hypertension patients under the mode of“1+1+1” combined contract is conducive to improving the quality of life of hypertension patients, greatly improving the satisfaction of hyper⁃ tension patients, and more conducive to the recovery of hypertension patients, improving the quality of life and worthy of promo⁃ tion.
文章编号:3202005017     中图分类号:R544.1    文献标志码:
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