文章摘要
张丹,陈鸣声,李亚运,冯占春,钱东福.西部农村地区高血压患者随访服务利用研究[J].南京医科大学学报(社会科学版),2016,(1):5~9
西部农村地区高血压患者随访服务利用研究
Study on the utilization of follow-up service of hypertension in western rural areas of China
投稿时间:2015-09-16  
DOI:10.7655/NYDXBSS20160102
中文关键词: 西部农村  高血压  随访
英文关键词: western rural areas  hypertension  follow-up
基金项目:国家自然科学基金面上项目“基于综合激励模型的农村慢性病卫生服务纵向整合策略研究”(71473130);美国中华医学基金会资助项目“西部少数民族地区乡村卫生服务一体化管理的适宜模式研究”(10—030)
作者单位
张丹 南京医科大学医政学院,江苏 南京 211166 
陈鸣声 南京医科大学医政学院,江苏 南京 211166 
李亚运 南京医科大学医政学院,江苏 南京 211166 
冯占春 华中科技大学医药卫生管理学院,湖北 武汉 430030 
钱东福 南京医科大学医政学院,江苏 南京 211166 
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中文摘要:
      目的:了解中国西部农村地区高血压患者随访服务利用现状及随访满意度影响因素,为加强西部高血压随访管理效果提供依据? 方法:数据来源于2014年西部少数民族地区乡村卫生服务一体化专项调查,采用分层随机抽样的方法,在青海农村?青海牧区?内蒙古和新疆4个地区共调查880例高血压患者?运用?字2检验和二分类Logistic回归模型进行数据分析? 结果:4个地区患者一年内接受4次及以上的随访服务比例?面对面随访比例?被告知下一次随访时间比例分别是72.7%?88.3%?64.2%,各地区间差异有统计学意义(P均< 0.05);61%的患者认为无论病情如何都有必要随访,各地区患者随访认知存在统计学差异(P < 0.05)?随访满意度的Logistic回归模型显示地区?离最近医疗单位距离?近一年随访次数?告知下次随访时间是统计显著性的影响因素?结论:西部农村地区应提供个性化随访方式,加强高血压及其并发症的防治宣传,创新慢性病管理方式,促进患者参与随访?
英文摘要:
      Objective: To investigate the utilization and the factors influencing satisfaction of follow-up service among hypertension patients in western rural areas of China, and to provide evidences for strengthening the effect of follow-up management of hypertension in western China. Methods: We used the special survey data of township and village health services integration in the minority areas of western China in 2014. A total of 880 participants were examined with stratified random sampling method in Qinghai agricultural areas, Qinghai pastoral areas, Inner Mongolia and Xinjiang Uygur Autonomous Region. Pearson ?字2 and binary logistic regression were performed to analyze the data. Results: 72.7% of the patients were followed up for more than 4 times a year. 88.3% of the patients had face to face follow-up service. 64.2% of the patients were informed of the next follow-up time. 61% of the patients believed that it is necessary for follow-up regardless of the severity of the disease. These rates were statistically different in the above 4 areas (P < 0.05). The binary logistic regression showed that district, distance from the nearest medical unit, time of follow-up service and whether to be informed of the next follow-up time were influencing factors. Conclusion: Personalized follow-up should be provided in the rural areas of western China, meanwhile, the prevention and control of hypertension and its complications should be strengthened. It is also suggested that we should make innovations in the management of chronic disease and promote hypertension patients to participate in the follow-up.
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