The value of family doctor responsibility system in community hypertension
家庭医生责任制用于社区高血压中的价值

摘要

目的 研究家庭医生责任制应用在社区高血压中的应用价值。方法 回顾性分析2018年1月-2021年12月间的200例社区高血压患者资料，随机分为2组，各100例，参照组采用常规门诊管理干预，观察组则应用家庭医生责任制干预。统计比对两组依从性、血压水平、自我管理情况。结果 观察组患者的依从性以及血压监测、遵从医嘱用药、饮食管理、坚持运动等自我管理效率均要优于参照组（P<0.05）。干预前两组的血压水平无较大差异（P>0.05）；干预后观察组的SBP、DBP水平要低于对照组（P<0.05）。结论 将家庭医生责任制应用在社区高血压管理中，可有效控制患者血压变化，提高患者依从性及自我管理效能。

Abstract

Objective: To study the application value of family doctor responsibility system in community hypertension.
Methods: The data of 200 patients with hypertension in the community from January 2018 to December 2021 were retrospectively analyzed. They were randomly divided into two groups, with 100 patients in each group. The reference group was treated with routine outpatient management intervention, while the observation group was treated with family doctor responsibility system intervention. Statistical comparison of compliance, blood pressure levels, and self management between the two groups.
Results: The self management efficiency of patients in the observation group, such as compliance, blood pressure monitoring, medication compliance, dietary management, and adherence to exercise, were better than those in the control group (P<0.05). There was no significant difference in blood pressure levels between the two groups before intervention (P>0.05); After intervention, the levels of SBP and DBP in the observation group were lower than those in the control group (P<0.05).
Conclusion  : Applying family doctor responsibility system in community hypertension management can effectively control the changes in blood pressure, improve patient compliance and self management efficiency.