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目的探讨家庭医生责任制管理的实施对社区高血压患者自我管理和生活质量的影响。方法将400例高血压患者随机分为干预组(200例)和对照组(200例),对照组采用传统高血压诊断治疗,干预组实施家庭医生责任制管理。分别观察干预前后高血压患者的自我管理能力和生活质量水平。结果经过1年的干预后,两组患者自我管理水平(合理运动、控制食盐摄入、心理调整、监测血压、规律用药、定期复查所占比例)均较干预前明显提高(P<0.05),且干预组的以上指标所占比例也明显高于对照组(P<0.05);其生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等生活质量指标评分均明显高于对照组(P<0.05)。结论家庭医生责任制可显著提高高血压患者的自我管理能力和生活质量,值得积极推广。
Objective To explore the impact of family doctor responsibility management on community self-management and quality of life in hypertensive patients. Methods 400 patients with hypertension were randomly divided into intervention group (n = 200) and control group (n = 200). The control group was treated with traditional hypertension and the intervention group was administered with family doctor responsibility system. To observe the self-management ability and quality of life of hypertensive patients before and after intervention respectively. Results After one year of intervention, the self-management level (reasonable exercise, salt intake control, psychological adjustment, blood pressure monitoring, regular medication and periodic review) in both groups were significantly higher than those before intervention (P <0.05) And the proportion of the above indicators in the intervention group was also significantly higher than that in the control group (P <0.05). The scores of physical quality, physiological function, physical pain, general health, energy, social function, emotional function, mental health and other indicators of quality of life Were significantly higher than the control group (P <0.05). Conclusion Family doctor responsibility system can significantly improve the ability of self-management and quality of life of hypertensive patients, it is worth to promote.