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Effect of special training in health management literacy of grassroots medical staff and hypertension patients in Hotan region of Xinjiang Uygur Autonomous Region |
LIN Chunmei1 ZHANG Min2 ALIDAN·Arken1 WU Yun1 |
1.Department of General Medicine, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China; 2.Department of Chinese Medicine, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China |
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Abstract Objective To explore the effect of special training mode based on independent factors on improving hypertension health management in grassroots medical staff and hypertension patients in Hotan region of Xinjiang Uygur Autonomous Region. Methods From January to August 2019, a total of 110 primary health care workers and 120 hypertensive patients from 8 primary health care units in Hotan region were selected as the research objects, while special training based on influencing factors on hypertension management was conducted for the health care workers. There were 60 patients were enrolled before training, and 60 patients were enrolled after training of 120 patients. Hypertension management ability of the workers, while the satisfaction, disease cognition and blood pressure levels of hypertension patients before and after the training were investigated by the questionnaire survey. Results The location of the unit and whether it has participated in training were influential factors for the management knowledge score of medical staff, and the education level and whether it has participated in training were the influential factors for the management behavior score of medical staff (P < 0.05). The scores of hypertension health literacy knowledge and behavior of medical staff after training were significantly higher than before training, and the differences were statistically significant (P < 0.05). The scores of disease awareness and satisfaction of trained hypertensive patients were higher than those of untrained patients, and the differences were statistically significant (P < 0.05). Conclusion The special training on hypertension based on multi-factor analysis can significantly improve the health management literacy of primary medical staff in Hotan tegion, Xinjiang Uygur Autonomous Region. At the same time, it can improve disease awareness and satisfaction of patients, which has great promotion value.
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[1] Andrews PJD,Rodriguez A,Suter P,et al. Mortality Risk Stratification After Traumatic Brain Injury and Hazard of Death With Titrated Hypothermia in the Eurotherm3235Trial [J]. Crit Care Med,2017,45(5):883-890.
[2] 常睿,董晓莲,王玉琢.德清农村居民糖尿病和高血压共患病率及其危险因素[J].中华疾病控制杂志,2019,23(6):640-645.
[3] Nerenberg KA,Zarnke KB,Leung AA,et al. Hypertension Canada′s 2018 Guidelines for Diagnosis,Risk Assessment,Prevention,and Treatment of Hypertension in Adults and Children [J]. Can J Cardiol,2018,34(5):506-507.
[4] 国家基本公共卫生服务项目基层高血压管理办公室、基层高血压管理专家委员会.国家基层高血压防治管理指南[J].中国循环杂志,2017,32(11):1041-1048.
[5] 朱晓磊,张晓畅,甫尔哈提·吾守尔,等.2012和2015年中国8省基层医护人员慢性病管理工作情况[J].中国慢性病预防与控制,2019,27(3):161-165.
[6] 杜浙标.基层社区卫生服务站高血压的管理[C]//浙江省第二十五届基层卫生改革与发展大会暨年度学术会议,2017.
[7] 张庆华,贾巍,张静平,等.健康素养-行为变化阶段综合干预对牧区哈萨克族高血压患者的影响[J].中华行为医学与脑科学杂志,2019,28(3):259-264.
[8] 陈伟伟.高血压、高胆固醇和高血糖常常相伴相随,实施“三高共管”是综合风险控制的有效策略,但在基层医院实施可行吗?该如何做?[J].中华高血压杂志,2017,3(10):908-921.
[9] 王雨东.高血压伴或不伴2型糖尿病患者血压晨峰与冠脉病变的相关性研究[D].重庆:第三军医大学,2017.
[10] 郭杰,余灿清,吕筠,等.中国10个地区人群高血压患病率、知晓率、治疗率和控制情况分析[J].中华流行病学杂志,2016,37(4):469.
[11] 曾新颖,刘世炜,王黎君,等.2013年中国人群血压升高对死亡和期望寿命的影响[J].中华高血压杂志,2018, 26(7):700.
[12] 张丹,陈鸣声,李亚运,等.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,2016,16(1):5-9.
[13] 胡立群,李红旗.2017年高血压领域的争鸣与共识[J].中国临床保健杂志,2018,21(1):4-6.
[14] 肖晓文,王德全,刘国生.韶关市基层医疗卫生机构慢性病预防控制能力调查[J].职业卫生与应急救援,2019,37(1):76-79.
[15] 邵悦萍.基层医院住院医师规范化培训师资培训管理探索[J].全科医学临床与教育,2019,17(2):154-155.
[16] 任雨菲,周玉杰.北京市昌平区回龙观社区全科医师进行高血压综合管理及规范化药物对高血压患者的疗效分析[J].中国循证心血管医学杂志,2017,9(8):947-950.
[17] 陈层层.通过村医培训促进农村中老年高血压患者血压控制效果的评价研究[D].济南:山东大学,2016.
[18] 张风.中医护理专科培训内容需求及效果分析[J].中国医药科学,2019,9(6):182-184,188.
[19] 程梦慧,卢咏梅,杜善淑,等.社区护士中医护理认知及培训需求调查[J].实用临床医学,2017,18(7):92-95.
[20] 张利峰,秦秀群,陈诗颖,等.广州市幼儿园教师传染病知识与培训需求的调查[J].中国医药导报,2019,16(15):56-59.
[21] 周晓平,黄继峥,罗腾达,等.基层医疗机构医护人员医院感染知识培训需求调查与管理对策[J].中华医院感染学杂志,2015,25(21):259-262.
[22] 董青杉.基于众包的互联网自我效能与知识共创研究—任务复杂度的调节作用[D].杭州:浙江工商大学,2017. |
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