心理-生理-伦理综合诊疗模式对门诊原发性高血压患者的疗效评价
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摘要
目的评价心理-生理-伦理综合诊疗模式对门诊原发性高血压的疗效。方法选择2016年9月-2017年9月在某院高血压门诊就诊的原发性高血压162例,采用随机数字表法分为干预组(心理-生理-伦理综合诊疗)和对照组(常规诊疗),比较2组的血压控制率、服药依从性、再住院次数、心理状况、生活方式、社会境遇、就诊满意度。结果干预组的血压控制率较对照组高(P<0.05),I、II、III级高血压的OR值(95%CI)依次为1.132(1.08～1.22)、1.354(1.17～1.56)、1.471(1.27～1.71);干预组与对照比相比,服药依从性高、再住院次数少,心理状况、生活方式、社会境遇、就诊满意度均得到改善(P<0.05),OR值(95%CI)依次为0.761(0.53～0.91)、1.243(1.01～1.39)、1.346(1.12～1.85)、1.562(1.21～1.78)、1.631(1.25～1.89)、0.654(0.40～0.87)。结论生理-心理-伦理综合诊模式可有效控制门诊原发性高血压患者血压、提高治疗依从性、降低再住院率、改善生活方式、提高生活质量。
Objective To evaluate the efficacy of comprehensive psychological-physiological-ethical diagnosis and treatment model with essential hypertension. Methods 162 patients with essential hypertension who treated at Hypertensive Outpatient Clinic of the Second Affiliated Hospital of Zhengzhou University from September 2016 to September 2017 were randomly divided into the intervention group(comprehensive psychological-physiological-ethical diagnosis and treatment) and the control group(routine diagnosis and treatment), and compared the blood pressure control rate, medication compliance, number of rehospitalizations, psychological status, lifestyle, social situation, and satisfaction with visits of the two groups. Results The blood pressure control rate of the intervention group was higher than that of the control group(P<0.05). The OR(95%CI) of grade I, II, and III hypertension were 1.132(1.08-1.22), 1.354(1.17-1.56), and 1.471(1.27-1.71). Compared with the control group, the intervention group had higher medication compliance, fewer rehospitalizations, and improved psychological status, lifestyle, social circumstances, and hospital satisfaction(P<0.05). The corresponding OR(95%CI) was 0.761(0.53-0.91) and 1.243(1.01-1.39), 1.346(1.12-1.85), 1.562(1.21-1.78), 1.631(1.25-1.89), and 0.654(0.40-0.87). Conclusion The comprehensive psychological-physiological-ethical diagnosis and treatment model can effectively control the blood pressure of patients with essential hypertension, improve treatment compliance, reduce the rate of rehospitalization, improve lifestyle, and improve the quality of life.
Objective To evaluate the efficacy of comprehensive psychological-physiological-ethical diagnosis and treatment model with essential hypertension. Methods 162 patients with essential hypertension who treated at Hypertensive Outpatient Clinic of the Second Affiliated Hospital of Zhengzhou University from September 2016 to September 2017 were randomly divided into the intervention group(comprehensive psychological-physiological-ethical diagnosis and treatment) and the control group(routine diagnosis and treatment), and compared the blood pressure control rate, medication compliance, number of rehospitalizations, psychological status, lifestyle, social situation, and satisfaction with visits of the two groups. Results The blood pressure control rate of the intervention group was higher than that of the control group(P<0.05). The OR(95%CI) of grade I, II, and III hypertension were 1.132(1.08-1.22), 1.354(1.17-1.56), and 1.471(1.27-1.71). Compared with the control group, the intervention group had higher medication compliance, fewer rehospitalizations, and improved psychological status, lifestyle, social circumstances, and hospital satisfaction(P<0.05). The corresponding OR(95%CI) was 0.761(0.53-0.91) and 1.243(1.01-1.39), 1.346(1.12-1.85), 1.562(1.21-1.78), 1.631(1.25-1.89), and 0.654(0.40-0.87). Conclusion The comprehensive psychological-physiological-ethical diagnosis and treatment model can effectively control the blood pressure of patients with essential hypertension, improve treatment compliance, reduce the rate of rehospitalization, improve lifestyle, and improve the quality of life.
引文
[1]林晓斐.《中国居民营养与慢性病状况报告(2015年)》发布[J].中医药管理杂志,2015,23(13):89.
[2]刘力生.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8),701-743.
[3]胡泊,刘晓宇,郭春月,等.中年人群心理压力与高血压的关系及性别差异[J].现代预防医学,2015,42(23):4317-4321.
[4]曾国庆,刘忠镗,高晶,等.综合干预对高血压合并焦虑抑郁患者血压的影响[J].中华高血压杂志,2015,23(9):880-882.
[5]《中国高血压基层管理指南》修订委员会.中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,23(1):24-43.
[6]王永红,钱燕,李三霞,等.社区高血压患者血压控制效果的影响因素及对策研究[J].中国全科医学,2017,20(S2):240-241.
[7]邓章莉,冯浓萍,彭子日,等.社区高血压综合管理干预的效果[J].中国老年学杂志,2015,35(7):1954-1956.
[8]蔡小红,邹瑞,金肖云,等.高血压患者治疗措施依从性及健康教育后疗效[J].中国老年学杂志,2017,37(2):468-470.
[9]刘晓辉.医患沟通干预对高血压患者康复的作用[J].江苏医药,2013,39(19):2353-2354.
[2]刘力生.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8),701-743.
[3]胡泊,刘晓宇,郭春月,等.中年人群心理压力与高血压的关系及性别差异[J].现代预防医学,2015,42(23):4317-4321.
[4]曾国庆,刘忠镗,高晶,等.综合干预对高血压合并焦虑抑郁患者血压的影响[J].中华高血压杂志,2015,23(9):880-882.
[5]《中国高血压基层管理指南》修订委员会.中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,23(1):24-43.
[6]王永红,钱燕,李三霞,等.社区高血压患者血压控制效果的影响因素及对策研究[J].中国全科医学,2017,20(S2):240-241.
[7]邓章莉,冯浓萍,彭子日,等.社区高血压综合管理干预的效果[J].中国老年学杂志,2015,35(7):1954-1956.
[8]蔡小红,邹瑞,金肖云,等.高血压患者治疗措施依从性及健康教育后疗效[J].中国老年学杂志,2017,37(2):468-470.
[9]刘晓辉.医患沟通干预对高血压患者康复的作用[J].江苏医药,2013,39(19):2353-2354.