高血压患者护理的连续性和患者控制在医疗护理的第一阶段

Diana Baro-Verdugo, I. Gil-Alfaro, M. Morales-Ramírez, Dulce Adelaida Rivera-Ávila, A. M. Rodríguez-González, J. M. Ramírez-Aranda, Juan Carlos Romo-Salazar
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引用次数: 0

摘要

目的:比较有连续性护理和无连续性护理的高血压患者在第一阶段就医时的血压数。方法:采用多中心横断面研究方法,对某公共机构的三个家庭医学单元进行调查。利用家庭医学信息系统对2018年7月至2019年6月高血压患者的电子档案进行审查。采用系统样本完成每组患者358例的样本量,有无连续性医疗。当护理连续性指数≥0.7时,判定存在连续性,同时得到临床变量。结果:701份高血压患者电子档案中,护理连续性指数平均为0.68±0.23,组间无差异,有无连续性护理,变量为:高血压控制情况、高血压演变期、高血压未控制到急诊科就诊人数、使用降压药人数、高血压控制情况。结论:患者护理的连续性与高血压控制无相关性。
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Continuity of patient care and patient control with high blood pressure at the first stage of medical attention
Objective: to compare the blood pressure numbers of patients with high blood pressure with and without continuity of care at the first stage of medical attention. Methods: a multicenter cross-sectional study was conducted in three family medicine units in a public institution. A family medicine information system was used to review the electronic files of patients with high blood pressure from July 2018 to June 2019. The systematic sample was used to complete the size of sample 358 for each group of patients, with and without continuity of medical care. It was determined that continuity existed when the continuity of care index was ≥ 0.7, getting also clinical variables. Results: of 701 electronic files of patients with high blood pressure, there was an average continuity of care index of 0.68 ± 0.23, without differences between the group of patients, with and without continuity of care, with variables: control of high blood pressure, evolution period of high blood pressure, number of patients that were assisted in the emergency departments due to uncontrolled hypertension, antihypertensive medications used and high blood pressure control. Conclusions: There was found, no relation between continuity of patient care and high blood pressure control.
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