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目的:评估健康管理与临床治疗相结合对高血压病患者生活质量的影响。方法:将316例符合条件且排除继发因素的高血压病2~3级患者随机分为观察组和对照组,2组患者的临床药物治疗和一般护理方法相同,观察组158例患者在定期接受专家门诊药物治疗的同时接受专人健康管理,对照组仅定期接受专家门诊药物治疗。所有患者均在首次专家门诊就诊时留下有效的联系方式,签署知情同意书,在首诊和首诊后24个月时分别接受生活质量量表(SF-36健康量表)测试和健康知识问卷调查,专人定期随访,了解住院和生活质量情况,同时对患者血压、治疗依从性及并发症情况进行追踪和效果评价。结果:干预24个月后2组患者健康知识得分比较差异有统计学意义;2组的生活质量生理功能、生理职能、社会功能、躯体疼痛、情感职能、活力、总体健康、精神健康评价及与其观察前比较等多项指标差异有统计学意义;观察组血压控制达标率和药物治疗依从性均优于对照组,并且观察组脑卒中冠心病等并发症的发生率明显低于对照组。结论:实施健康管理与临床治疗相结合对改善高血压病患者的生活质量、降低其血压水平、提高其药物治疗的依从性及降低并发症的发生等有积极的作用。
Objective: To evaluate the impact of health management and clinical treatment on the quality of life in hypertensive patients. Methods: A total of 316 eligible hypertensive patients with grade 2 to 3 secondary complications were randomly divided into observation group and control group. Clinical medication and general nursing methods were the same in the two groups. 158 patients in observation group Experts receiving specialist out-patient medication while receiving health management, control group only regularly receive specialist out-patient drug treatment. All patients left effective contact information and signed informed consent form when they first visited clinic, and received Quality of Life Scale (SF-36) test and health knowledge at first visit and at 24 months after the first visit Questionnaires, regular follow-up to understand the situation of hospitalization and quality of life, at the same time, the patient’s blood pressure, treatment compliance and complications were tracked and the effect of evaluation. Results: There was significant difference in scores of health knowledge between the two groups after intervention for 24 months. The quality of life, physical function, physical function, social function, physical pain, emotional function, vitality, general health, mental health evaluation The differences of many indexes before the observation were statistically significant. The compliance rate of blood pressure control and drug treatment compliance in the observation group were better than those in the control group, and the incidence of complications such as coronary heart disease in the observation group was significantly lower than that in the control group. Conclusion: The combination of health management and clinical treatment has a positive effect on improving the quality of life, lowering the blood pressure level, improving the compliance of drug treatment and reducing the incidence of complications in hypertensive patients.