主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

• 社区护理 • 上一篇    下一篇

家庭访视对社区高血压患者治疗行为依从性的影响

陈楚 郑翠红 赵敏 江建辉 张龙贵   

  1. 福建医科大学护理学院
  • 出版日期:2015-02-25 发布日期:2015-02-25
  • 基金资助:
    福建省卫生厅医学创新课题(2011-CX-19)

Implementing home visit to improve treatment compliance of community hypertension patients

  • Online:2015-02-25 Published:2015-02-25

摘要: 目的:通过以奥马哈系统为基础的高血压家庭访视提高患者治疗行为依从性,控制血压。方法:采用随机抽样法将三个社区卫生服务中心高血压档案有记录者分为实验组和对照组,两组各65 名。实验组采用以奥马哈系统为基础的社区高血压患者家庭访视。对照组采用社区高血压常规护理。比较两组干预前后治疗行为依从性及生理指标变化情况。结果:最终完成实验的人数为实验组63 名,对照组62 名。实验组治疗行为依从性干预后较干预前总分中位数提高14 分,两组干预前后差值在总分、遵医行为、服药行为、日常生活管理方面比较差异有统计学意义(P <0.05)。实验组收缩压较对照组干预前后差异有统计学意义(P <0.05)。结论:家庭访视可提高患者治疗行为依从性,降低患者收缩压。

Abstract: Objective: To explore the effect of home visit on treatment compliance in community hypertensive patients.Methods: Totally 130 eligible community hypertensive patients were divided into two groups randomly as the control group (n=65) and intervention group (n=65), respectively. The intervention group accepted home visit based on Omaha system, while the control group only was provided regularly community care. Their treatment compliance and physiological indicators were collected and compared before and after intervention. Results: The intervention group had better treatment compliance as compared with control group after the intervention, including follow doctor's order, medication compliance and daily management (P<0.05). Patients in intervention group also had lower systolic pressure than control group (P<0.05). Conclusion: Nursing home visit program was helpful for improving patients' treatment compliance and blood pressure control.