全科医学视角下我国高血压患者的自我管理

黄文博; 冯娴; 姚元龙; 王留义

doi:10.16766/j.cnki.issn.1674-4152.002529

全科医学视角下我国高血压患者的自我管理

doi: 10.16766/j.cnki.issn.1674-4152.002529

黄文博¹,
冯娴¹,
姚元龙²,
王留义^{1, 2, ,}

1.
郑州大学人民医院河南省人民医院全科医学科，河南郑州 450003
2.
河南大学人民医院河南省人民医院全科医学科，河南郑州 450003

基金项目:

河南省医学科技攻关计划项目 RKX202101001

详细信息

通讯作者:
王留义, E-mail: wly2000@126.com

中图分类号: R544.1 R499
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- 文章访问数: 607
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-20
- 网络出版日期: 2022-09-23

Self-management of hypertensive patients in China from the perspective of general practice

1.
Department of General Practice, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China

摘要

摘要: 高血压作为我国患病人数较多的慢性病之一，不仅给患者及其家庭带来沉重的负担，也严重影响了社会经济的可持续发展。2019年7月，国务院印发《关于实施健康中国行动的意见》，明确实施心脑血管疾病防治行动，加强高血压、高血糖、血脂异常的规范管理。目前我国高血压发病仍呈增高的趋势，单纯依靠门诊治疗的传统医疗保健服务模式防治高血压效果有限，高血压的预防及保健工作往往在家庭及社区中进行，患者及家属对高血压的管理便成为高血压管理的重要环节。有效的自我管理模式不仅对高血压患者的血压控制有明显效果，还能改善生理指标，并提高自我管理能力。随着我国分级诊疗制度的不断推进，基层医疗卫生机构已成为高血压管理的主要力量，其管理水平对我国未来高血压管理状况的发展趋势有深远的影响。因此，探讨一套适合我国高血压自我管理的模式对高血压患者的病情控制具有重要意义。本文从全科医学视角出发，对国内高血压患者自我管理的概念、影响因素、评估表格、管理现状等进行分析，旨在探索适合我国国情的高血压自我管理模式，为全科医师提供高血压管理新思路，为临床进行有效的高血压自我管理提供思路，从而提升患者自我管理能力，改善其生活品质，缓解医疗卫生机构压力。
- 高血压 /
- 自我管理 /
- 全科医学
Abstract: As one of the chronic diseases with the largest number of patients in China, hypertension not only brings a heavy burden to patients and their families but also seriously affects the sustainable development of China's social economy. In July 2019, the State Council issued opinions on the implementation of healthy China action. It clearly implemented the prevention and treatment of cardiovascular and cerebrovascular diseases and strengthened the standardised management of hypertension, hyperglycaemia and dyslipidaemia. At present, the incidence of hypertension in China is still increasing. The traditional medical and health care service model relying solely on outpatient treatment has limited effect on the prevention and treatment of hypertension. The prevention and health care of hypertension are often carried out in families and communities. The management of patients and their families on hypertension has become an important link in the management of hypertension. Effective self-management model not only has an obvious effect on blood pressure control of patients with hypertension but also improves physiological indices and self-management ability. With the continuous improvement of hierarchical diagnosis and treatment mechanism in China, grass-root healthcare institutions have become the main place for hypertension management. Their management level has a far-reaching effect on the development trend of hypertension management in China in the future. Therefore, exploring a set of hypertension self-management models suitable for China is of great importance. From the perspective of general practice, this paper summarises the concept, influencing factors, evaluation forms and management status of self-management of domestic patients with hypertension to explore the hypertension self-management model suitable for China's national conditions and provide new ideas for general practitioners on hypertension management. This study also provides ideas for clinical effective self-management to improve patients' self-management ability and quality of life and relieve the pressure of medical and healthcare institutions.
- Hypertension /
- Self-management /
- General practice

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参考文献(41)

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