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目的分析影响社区高血压患者随访护理效果的相关因素,为提高社区高血压随访护理服务提供依据。方法选取高血压患者246例,为患者提供分组授课、电话随访、家庭随访、建立QQ群等为期1 a的随访护理,运用自制调查问卷,从4方面评价随访护理效果;收集整理调查结果,对其影响因素进行分析评价。结果心理调整与年龄、职业、居住情况、病程、并发症有关(P<0.05或P<0.01),用药依从性与性别、年龄、职业、文化程度、病程、并发症有关(P<0.05或P<0.01),遵医行为与年龄、职业、居住情况、病程有关(P<0.05或P<0.01),随访护理满意度与性别、年龄、文化程度、并发症有关(P<0.05或P<0.01)。经二元logistic回归分析显示,性别、职业、居住情况、病程会对随访护理效果造成影响。结论随访护理效果与患者性别、职业、居住情况、病程有关,故针对不同患者应给予不同护理措施。
Objective To analyze the related factors that influence the follow-up nursing effect of community-based hypertension in order to provide basis for improving follow-up nursing service in community hypertension. Methods A total of 246 hypertensive patients were selected to provide follow-up nursing care such as group instruction, telephone follow-up, family follow-up and the establishment of QQ group. A self-made questionnaire was used to evaluate the follow-up nursing effect from 4 aspects. Its influencing factors are analyzed and evaluated. Results The psychological adjustment was related to age, occupation, residence, course of disease and complications (P <0.05 or P <0.01). The medication compliance was related to sex, age, occupation, education, course of disease and complications (P <0.05 or P <0.01). The follow-up nursing satisfaction was related to sex, age, education level and complication (P <0.05 or P <0.01), and the compliance behavior was related to age, occupation, ). Binary logistic regression analysis showed that sex, occupation, living conditions and duration of illness had an impact on the follow-up nursing effect. Conclusions Nursing follow-up with the patient’s gender, occupation, living conditions, duration of the disease, so different patients should be given different care measures.