门诊医生干预对高血压患者服药依从性及血压控制的影响

doi:10.3969/j.issn.1004-583X.2016.09.012

临床荟萃

门诊医生干预对高血压患者服药依从性及血压控制的影响

湛江解放军第四二二医院 a.门诊部; b.心血管内科，广东湛江 524005

出版日期:2016-09-05 发布日期:2016-08-31
通讯作者: 通信作者：李虎，Email: lihu@medmail.com.cn

Influence of clinic intervention on medication compliance and antihypertensive effect in patients with hypertension

a. Department of Outpatient; b. Department of Cardiology， No.422 Hospital of PLA， Zhanjiang 524005，China

Online:2016-09-05 Published:2016-08-31
Contact: Corresponding author：Li Hu， Email: lihu@medmail.com.cn

摘要/Abstract

摘要： 目的观察门诊医生干预对高血压患者服药依从性和血压控制的影响。方法入选148例门诊原发性高血压3级患者，随机分为两组，对照组为普通门诊就诊，门诊干预组为普通门诊就诊的基础上给予干预。即门诊药师帮助讲解药物服用的重要性和注意事项，门诊医师对入选病历进行门诊随访，进行高血压健康教育。要求患者每2周复诊一次，由门诊护士测量并记录血压情况，服药情况。3个月后，对两组服药依从性、血压情况进行统计分析。结果门诊干预组服药依从性明显好于对照组，患者血压达标率明显升高（P<0.05）。结论门诊医生干预能提高高血压患者的服药依从性、有效控制患者血压。

关键词: 高血压, 干预性研究, 病人依从, 健康教育

Abstract: ObjectiveTo investigate the influence of clinic intervention on antihypertensive effects and medication compliance in patients with hypertension. MethodsA total of 148 patients with hypertension were randomly divided into control group and intervention group. The control group was treated with clinic procedure. The intervention group was given intervention on the basis of general clinic procedure. The pharmacists helped explain the importance of drug use. Outpatient doctors visited to the medical records of the selected medical records and the health education of hypertension was carried out. Patients were required to return once every two weeks. The situation of blood pressure and blood pressure were measured and recorded by the outpatient nurses. Three months later， the medication compliance and blood pressure of two groups were statistically analyzed. ResultsThe medication compliance and blood pressure control rate in intervention group were superior to those in control group (P<0.05). ConclusionClinic intervention by outpatient doctors can enhance the medication compliance of patients and effectively improve the hypertension control.

Key words: hypertension, intervention studies, patient compliance, health education

刘迎雪a，李虎b，成芝花a，何丹珠a，王琦b. 门诊医生干预对高血压患者服药依从性及血压控制的影响[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2016.09.012.

Liu Yingxuea， Li Hub， Cheng Zhihuaa， He Danzhua，Wang Qib. Influence of clinic intervention on medication compliance and antihypertensive effect in patients with hypertension[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2016.09.012.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2016.09.012

https://huicui.hebmu.edu.cn/CN/Y2016/V31/I9/971

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门诊医生干预对高血压患者服药依从性及血压控制的影响

Influence of clinic intervention on medication compliance and antihypertensive effect in patients with hypertension

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