摘要： 目的 探讨高血压患者体验的全科医疗核心特征功能与自我管理行为状况的相关性。方法 采取自编一般资料调查表、高血压患者自我管理行为测评量表(HPSMBRS)和全科医疗核心特征功能患者服务体验量表(ASPC),对330例于广州市某社区卫生服务中心就诊并与家庭医生签约的高血压患者进行问卷调查。结果 高血压患者ASPC总得分为(72.92±10.88)分,自我管理行为总得分为(76.98±9.73)分,多重线性回归分析结果显示,ASPC总分及其六大维度得分均是患者自我管理行为总分的影响因素(P < 0.05)。从自我管理行为的六大维度来看,ASPC总分及其六大维度得分主要为影响病情检测和饮食管理(P < 0.05);从ASPC的维度来看,用药管理、情绪管理及工作与休息管理仅受ASPC个别维度的影响(P < 0.05),而运动管理不受ASPC的影响(P > 0.05)。结论 全科医疗核心特征功能是促进患者良好自我管理行为的重要因素,需要有针对性地强化全科医疗核心特征功能,以提升患者的自我管理行为能力。

全科医疗核心特征功能与高血压患者自我管理行为的相关性研究

曾惠娴¹, 张曦², 周梦萍¹, 刘世兴², 匡莉¹

1. 中山大学公共卫生学院卫生管理学系, 广州 510080;
2. 广州市海珠区沙园街社区卫生服务中心, 广州 510250

收稿日期:2021-06-17出版日期:2022-06-30发布日期:2022-06-09
通讯作者:匡莉E-mail:kuangli@mail.sysu.edu.cn
作者简介:曾惠娴(1996-),女,硕士研究生.
基金资助:国家自然科学基金(71673311)


关键词: 全科医疗, 基础保健, 核心特征功能, 高血压, 自我管理行为
Abstract: Objective To understand the status of the core attributes of general practice and self-management behaviors in patients with hypertension and explore their correlation. Methods A total of 330 hypertensive patients who had contracted family doctors in a community in Guangzhou were investigated using a general information questionnaire,the hypertension patients self-management behavior rating scale(HPSMBRS),and the assessment survey of primary care(ASPC). Results The average total scores were (72.92±10.88) and (76.98±9.73) for ASPC and HPSMBRS,respectively. Multiple linear regression analyses revealed that the total scores of ASPC and its six dimensions were the influencing factors of the total score of patients' self-management behavior(P < 0.05). From the six dimensions of self-management behavior,the total scores of ASPC and its six dimensions mainly affected disease detection and diet management(P < 0.05). Regarding the dimension of ASPC and medication,emotion,and work and rest managements were only affected by individual dimension of ASPC(P < 0.05),while exercise management was not affected by ASPC(P > 0.05). Conclusion The core characteristic function of general practice is an important factor to promote good self-management behavior in patients. Strengthening the core characteristic functions of general practice is required for improving patients' self-management behavior.
Key words: primary care, general practice, core attributes, hypertension, self-management behaviors
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