首页|家庭医生签约服务在社区高血压慢病管理中的应用效果

家庭医生签约服务在社区高血压慢病管理中的应用效果

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目的 探讨社区高血压慢性病管理中对家庭医生签约服务的应用价值。方法 选取 2020 年 1 月—2022 年 12 月永安市立医院基层卫生管理科收治的高血压慢性病患者 120 例,依据不同慢病管理方法分为对照组(n=60)与观察组(n=60)。观察组行家庭医生签约服务管理,对照组行常规管理。比较 2 组的血压水平、血脂水平、生活质量及血糖水平。结果 管理后,观察组舒张压、收缩压水平低于对照组(P<0。05)。管理后,对照组三酰甘油、总胆固醇水平高于观察组(P<0。05)。管理后,观察组生活质量评分高于对照组(P<0。05)。管理后,观察组餐后2 h血糖[(8。08±0。25)mmo1/L vs。(9。75±0。48)mmo1/L]、空腹血糖水平[(6。24±0。59)mmo1/L vs。(6。75±0。76)mmo1/L]低于对照组(P<0。05)。结论 在社区高血压慢性病管理中,实施家庭医生签约服务的效果更为显著,可有效调节患者血脂水平、血压水平、血糖水平,提升生活质量。
The Application Effect of Family Doctor Signing Services in the Management of Chronic Hypertension in the Community
Objective To explore the application value of family doctor contract services in the management of hypertension and chronic diseases in the community.Methods A total of 120 patients with chronic hypertension admitted to department of grassroots health management,Yong'an Municipal Hospital from January 2020 to December 2022 were collected,and divided into a control group(n=60)and an observation group(n=60)according to different chronic disease management methods.The observation group adopted family doctor contract service management,the control group underwent routine management.The blood pressure levels,lipid levels,quality of life and blood glucose levels between two groups were compared.Results After management,the levels of diastolic and systolic blood pressure in the observation group were lower than those in the control group(P<0.05).After management,the levels of triglycerides and total cholesterol in the control group were higher than those in the observation group(P<0.05).After management,the quality of life score of the observation group was higher than that of the control group(P<0.05).After management,the 2-hour postprandial blood glucose levels in the observation group[(8.08±0.25)mmo1/L vs.(9.75±0.48)mmo1/L]and fasting blood glucose levels[(6.24±0.59)mmo1/L vs.(6.75±0.76)mmo1/L]were lower than those in the control group(P<0.05).Conclusion In the management of chronic hypertension in the community,the implementation of family doctor contract services has a more significant effect,which can effectively regulate patients' blood lipid levels,blood pressure levels,blood sugar levels,and improve their quality of life.

family doctor signing servicesblood pressure levelblood lipid levelsquality of lifeblood sugar levelshypertension

倪丽芳、王卉

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永安市立医院基层卫生管理科,福建 永安 366099

家庭医生签约服务 血压水平 血脂水平 生活质量 血糖水平 高血压

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)