基于链式管理模式的多学科联合健康教育对门诊高血压患者服药依从性的影响
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摘要
目的探讨基于链式管理模式的多学科联合健康教育对门诊高血压患者服药依从性的影响。方法便利选取2017年10月至2018年6月在苏州市某三甲医院心血管内科门诊就诊的240名高血压患者为研究对象,随机分为观察组和对照组,观察组采用基于链式管理模式的多学科联合方法进行健康教育,对照组采用常规的患者教育模式,比较两种教育模式下患者知识掌握、服药依从性的情况。结果干预前,观察组和对照组高血压知识掌握水平和服药依从性比较,差异无统计学意义。干预后,观察组对高血压相关知识的掌握率、服药依从性均有了显著提高,与干预前及对照组比较,差异均有统计学意义(均P<0.05)。结论多学科联合链式健康教育可以显著提高高血压患者对于高血压相关知识的掌握,提高患者的服药依从性。
Objective To explore the effect of multi-disciplinary health education on medication compliance of outpatients with hypertension.Methods By convenience sampling method,240 outpatients with hypertension from a Suzhou tertiary hospital were selected and divided into the experimental group and the control group.The observation group was given health education by multi-disciplinary combination method based on chain management mode,while the control group was given routine patient education mode. The knowledge mastery and medication compliance of patients under the two education modes were compared.Results Before intervention,there was no significant difference in knowledge level of hypertension between the observation group and the control group.After intervention,the mastery rate of hypertension-related knowledge and medication compliance in the observation group were significantly improved,with statistical significance(all P<0.05).Conclusions Multi-disciplinary health education can significantly improve the hypertension-related knowledge of hypertension patients,improve patients' medication compliance.
Objective To explore the effect of multi-disciplinary health education on medication compliance of outpatients with hypertension.Methods By convenience sampling method,240 outpatients with hypertension from a Suzhou tertiary hospital were selected and divided into the experimental group and the control group.The observation group was given health education by multi-disciplinary combination method based on chain management mode,while the control group was given routine patient education mode. The knowledge mastery and medication compliance of patients under the two education modes were compared.Results Before intervention,there was no significant difference in knowledge level of hypertension between the observation group and the control group.After intervention,the mastery rate of hypertension-related knowledge and medication compliance in the observation group were significantly improved,with statistical significance(all P<0.05).Conclusions Multi-disciplinary health education can significantly improve the hypertension-related knowledge of hypertension patients,improve patients' medication compliance.
引文
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[5] 徐静,吴霞珺.综合性健康教育对维持性血液透析患者依从性的影响[J].解放军护理杂志,2015,32(12):47-50.
[6] 裴静,张艳,张秀芹.链式管理在二胎疤痕子宫切口妊娠患者术前健康教育中的应用[J].国际护理学杂志,2018,37(16):2245-2249.
[7] MORISKY DE,ANG A,KROUSEL-WOOD M,et al.Predictive validity of a medication adherence measure in an outpatient setting[J].J Clin Hypertens (Greenwich),2008,10(5):348-354.
[8] 崔淑节,李湘萍.中文版服药依从性量表评价门诊高血压患者服药依从性的信度与效度研究[J].护理管理杂志,2018,18(02):93-96,111.
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[10]张娟.长沙市城市社区高血压患者管理现状及血压控制影响因素研究[D],长沙:中南大学,2014.
[11]李楠楠,化前珍.社区老年高血压患者服药依从性及其影响因素的研究[J].护理学报,2013,20(06):7-9.
[12]刘肖群.慢性肾脏病药物治疗依从性与预后的临床研究[J].中国医药指南,2011,9(16):297-298.
[13]陈晓亚,李蓉.链式管理模式在社区高血压患者教育中的运用[J].中国实用护理杂志,2017,33(2):91-94.
[2] BURNIER M,WUERZNER G.Hypertension[J].Rev Med Suisse,2017,13(544-545):61-65.
[3] 汪敏生,龚洁.高血压知识对老年高血压患者服药依从性影响研究[J].中国社会医学杂志,2018,35(3):252-255.
[4] 徐海凤.农村高血压患者的血压控制情况及相关影响因素分析[J].中国妇幼健康研究,2017,28(S4):130-131.
[5] 徐静,吴霞珺.综合性健康教育对维持性血液透析患者依从性的影响[J].解放军护理杂志,2015,32(12):47-50.
[6] 裴静,张艳,张秀芹.链式管理在二胎疤痕子宫切口妊娠患者术前健康教育中的应用[J].国际护理学杂志,2018,37(16):2245-2249.
[7] MORISKY DE,ANG A,KROUSEL-WOOD M,et al.Predictive validity of a medication adherence measure in an outpatient setting[J].J Clin Hypertens (Greenwich),2008,10(5):348-354.
[8] 崔淑节,李湘萍.中文版服药依从性量表评价门诊高血压患者服药依从性的信度与效度研究[J].护理管理杂志,2018,18(02):93-96,111.
[9] 李镒冲,王丽敏.2010年中国成年人高血压患病情况[J].中华预防医学杂志,2012,46(5):409-413.
[10]张娟.长沙市城市社区高血压患者管理现状及血压控制影响因素研究[D],长沙:中南大学,2014.
[11]李楠楠,化前珍.社区老年高血压患者服药依从性及其影响因素的研究[J].护理学报,2013,20(06):7-9.
[12]刘肖群.慢性肾脏病药物治疗依从性与预后的临床研究[J].中国医药指南,2011,9(16):297-298.
[13]陈晓亚,李蓉.链式管理模式在社区高血压患者教育中的运用[J].中国实用护理杂志,2017,33(2):91-94.