首页|随访工作在基层高血压病管理中的应用及其作用

随访工作在基层高血压病管理中的应用及其作用

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目的 了解健康管理随访工作在基层高血压病管理中的应用及作用,进一步提高基层医务人员对随访工作的重视,以便更好地控制高血压病.方法 收集2020年1月-2020年12月该地区高血压患者的随访数据,纳入20727名研究对象数据进行分析.采用电话、门诊和家庭随访形式对高血压患者进行随访,共计随访80708条随访记录,利用SPSS 23.0软件进行统计分析.结果 根据《国家基本公共卫生服务规范(第三版)》要求,该地区2020年1月-2020年12月接受社区医生随访次数达到4次的比例为93.26%.随访次数与血压值达标情况有统计学意义(P<0.05).主要随访形式为电话随访、门诊随访和家庭随访.结论 随访工作对于高血压病的控制是十分有效的,对高血压进行分级管理,进一步加强对高血压患者的教育和管理,基层医务人员应该给予足够的重视并持之以恒.
The application and role of follow-up work in the management of hypertension in community
Objective To understand the application and function of health management follow-up work in the management of pri-mary hypertension,and to further improve the attention of primary medical staff to follow-up work in order to better control hyperten-sion.Methods The follow-up data of patients with hypertension in this area from January 2020 to December 2020 were collected,and the data of 20,727 subjects were included for analysis.Patients with hypertension were followed-up by telephone,outpatient and family follow-up.A total of 80,708 follow-up records were statistically analyzed by SPSS 23.0 software.Results According to the Na-tional Basic Public Health Service Standard(Third Edition),93.26%of the patients received four follow-up visits from community doc-tors from January 2020 to December 2020.There was statistical significance between the number of follow-up visits and the standard of blood pressure(P<0.05).The main follow-up methods were telephone follow-up,outpatient follow-up and family follow-up.Con-clusion The follow-up work is very effective for the control of hypertension.The primary medical staff should pay enough attention to the hierarchical management of hypertension and further strengthen the education and management of patients with hypertension.

HypertensionFollow-upManagementCommunity doctors

王艳杰、郑乐乐、祖丽皮耶·麦麦提祖农、倪子航、魏晶晶

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新疆医科大学公共卫生学院,乌鲁木齐 830017

高血压 随访 管理 社区医师

新疆医科大学大学生创新训练计划项目

S202210760067

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(3)
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