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目的探索家庭责任医生签约模式下护理干预对社区高血压患者血压及生活质量的影响。方法采用实验对照研究的方法,选择2014年6—12月来社区卫生服务中心就诊的120例6个月以上的高血压患者作为研究对象,随机分为实验组和对照组,对照组采用常规社区干预,实验组采用家庭责任医生签约模式下护理干预,干预1年后,对比两组之间高血压患者的血压水平及生活质量评分。计量资料采用t检验,P<0.05为差异有统计学意义。结果对照组患者收缩压和舒张压从干预前的(146.28±13.42)、(95.24±10.47)mm Hg(1 mm Hg=0.133 k Pa)下降为干预后的(136.89±12.48)、(86.46±11.75)mm Hg;实验组患者收缩压和舒张压从干预前的(148.32±14.56)、(94.16±11.37)mm Hg下降为(126.19±12.34)、(74.28±8.44)mm Hg,且实验组干预后血压值明显低于对照组,对比差异均有统计学意义(均P<0.05)。实验组患者生理机能、生理职能、精神健康、精神职能、社会功能、精力、一般健康状况和躯体疼痛[(82.64±9.28)、(83.19±8.64)、(86.45±8.18)、(80.23±8.65)、(87.35±8.42)、(79.28±7.41)、(76.28±7.77)、(82.64±9.16)分]均高于干预前和对照组,对比差异均有统计学意义(均P<0.05);而对照组中,除躯体疼痛外,其余7个领域评分较干预前未见明显改变,对比差异均无统计学意义(均P>0.05)。结论实施家庭责任医生签约模式下护理干预不仅可以有效控制社区高血压患者的血压水平,提高其生活质量,同时也为进一步深入推动家庭医生责任制服务奠定基础。
Objective To explore the impact of nursing intervention on the blood pressure and quality of life of hypertensive patients in community with family responsibility doctor signing mode. Methods A total of 120 hypertensive patients from 6 to 6 months from community health service center visited from June to December 2014 were selected as experimental subjects and randomly divided into experimental group and control group. Intervention, the experimental group nursing homeownership under the contract mode of care intervention intervention 1 year later, compared the two groups of patients with hypertension blood pressure levels and quality of life score. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The systolic and diastolic blood pressure of the control group decreased from (146.28 ± 13.42) and (95.24 ± 10.47) mm Hg (1 mm Hg = 0.133 kPa) to (136.89 ± 12.48) and (86.46 ± 11.75 ) mm Hg. The systolic and diastolic blood pressure in the experimental group decreased from (148.32 ± 14.56) and (94.16 ± 11.37) mm Hg to (126.19 ± 12.34) and (74.28 ± 8.44) mm Hg, respectively Blood pressure was significantly lower than the control group, the difference was statistically significant (P <0.05). The patients in experimental group had significant differences in physical function, physical function, mental health, mental function, social function, energy, general health and somatic pain (82.64 ± 9.28), (83.19 ± 8.64), (86.45 ± 8.18) and (80.23 ± 8.65) , (87.35 ± 8.42), (79.28 ± 7.41), (76.28 ± 7.77) and (82.64 ± 9.16), respectively, were significantly higher than those before intervention and the control group (all P <0.05) The control group, in addition to somatic pain, the other seven areas score than before intervention had no significant change, the difference was not statistically significant (P> 0.05). Conclusion Nursing intervention under the family-responsible doctor’s contract mode can not only effectively control the blood pressure level and improve the quality of life of community-based hypertensive patients, but also lay the foundation for further deepening the responsibility system of family doctor.