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目的分析评价社区全科医师对临床疾病诊疗控制的效果。方法将本社区128例高血压患者按随机数字表法分为两组;对照组64例由社区普通医师负责临床诊疗控制工作,观察组64例由社区全科医师负责临床诊疗控制工作,进一步对2组患者诊疗控制效果进行对比评价。结果随访1年,观察组患者血压控制效果显著优于对照组(P<0.05)。诊疗控制前,2组患者焦虑症状(SAS)评分无明显差异(P>0.05);诊疗控制后,2组SAS评分均降低,且观察组SAS评分低于对照组(P<0.05)。观察组患者对诊疗控制服务的满意度(95.31%)明显高于对照组(67.19%)(P<0.05)。结论针对社区高血压患者实施全科医师诊疗控制服务有显著效果,能够改善患者血压水平及心理状态,提高服药依从性,值得推广应用。
Objective To analyze and evaluate the effect of community general practitioners on clinical disease diagnosis and control. Methods A total of 128 hypertensive patients in this community were divided into two groups according to random number table. In the control group, 64 cases were controlled by general practitioners in the community. 64 cases in the observation group were in charge of clinical diagnosis and treatment by community general practitioners. Two groups of patients treatment control effect of comparative evaluation. Results The follow-up of 1 year, the observation group patients with blood pressure control effect was significantly better than the control group (P <0.05). There was no significant difference in anxiety symptoms (SAS) scores between the two groups before treatment control (P> 0.05). SAS scores of the two groups were decreased after treatment control, and SAS scores of the observation group were lower than those of the control group (P <0.05). The patients in the observation group were more satisfied with the treatment control service (95.31%) than the control group (67.19%) (P <0.05). Conclusions There is a significant effect of implementing general practitioner treatment control service in patients with hypertension in community, which can improve the blood pressure level and psychological status of patients and improve the adherence of medication, which is worth popularizing and applying.