组织初级卫生保健水平的高血压治疗教育过程

A. Topa
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摘要

高血压是一个重大的公共卫生问题,其发病率和死亡率指标令人震惊。高血压治疗性教育可提高认识水平,控制血压,预防并发症。这项研究的目的是评估摩尔多瓦共和国初级保健一级组织高血压患者治疗性教育的进程。研究设计:描述性的,横向的,通过应用在研究兴趣中开发的问卷。研究方法:统计、综合、比较、图解。本研究共涉及371名受访者,其中65%为家庭医生,35%为护士。大多数医务人员(98.1%)认为治疗性教育很重要,87.3%的医务人员认识到治疗性教育的定义及其益处:控制血压(90.6%);并发症死亡率下降(81.7%);提高治疗依从性(72.5%);疾病意识(65.5%)。接受调查的医务人员在组织过程的4个阶段的参与程度不成比例:42.3%参与计划阶段,93.0%参与实施阶段,29.1%参与评估阶段,54.2%参与组织阶段。由于对高血压患者的治疗性教育缺乏规划和评估,组织治疗性教育的过程不完整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organization of the therapeutic education process in hypertension at the level of primary health care
High blood pressure is a major public health problem, with indicators of morbidity and mortality being alarming. Therapeutic education in hypertension increases the level of awareness, blood pressure control and prevents complications. The aim of the study is to evaluate the process of organizing the therapeutic education of patients with hypertension at the level of primary health care in the Republic of Moldova. Study design: descriptive, transversal, by applying the questionnaire developed in the interest of the study. Study methods: statistical, synthetic, comparative, graphical. Th e study involved 371 respondents, of which 65% family physicians, 35% nurses. The majority of medical staff (98.1%) consider therapeutic education important, 87.3% recognized the definition of therapeutic education and its benefits: blood pressure control (90.6%); decrease in mortality caused by complications (81.7%); increasing treatment compliance (72.5%); disease awareness (65.5%). The surveyed medical staff demonstrated a disproportionate involvement in the 4 stages of the organization process: 42.3% are involved in the planning stage, 93.0% - implementation 29.1% - evaluation and 54.2% - organization. The process of organizing therapeutic education is incomplete, due to the lack or insufficiency of planning and evaluation of therapeutic education of patients with hypertension.
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