ABSTRACT
Objective To study the application effect of day-parting appointment for elderly hypertensive contracted outpatients in community. Methods In May 2018 two groups (experiment and control) of 103 elderly hypertensive contracted outpatients, aged between 60 and 80 and looked after by the team of family doctors, who had been diagnosed with hypertension and with medication for at least one year were set up.The experimental group used self-made community hypertension visiting card for appointments, and the control group used the original way of treatment.Six months later, comparison was made in blood pressure control, the number of outpatients, the time consumed and the satisfaction between the two groups. Results It was found in comparison that the blood pressure standard-reaching rate of the experimental group was better than that of the control group (P < 0.05);outpatients′ visits and time consumed were less than those of the control group, the time used in the clinic room was longer than that in the control group; the differences in these aspects between the two groups were significant (P < 0.05);the satisfaction of the overall outpatient perception, attitude of family doctors, treatment technology, visits control, dosage, cost and safety of medication in the experimental group were better than in the control group; there were significant differences in these aspects between the two groups (P < 0.05). Conclusion Community day-parting appointment proves to be more convenient, more time-saving and safer for outpatients, greatly improving the medical quality and satisfaction for community outpatients.
ABSTRACT
Objective: To understand the status of self-rated health of elderly hypertensive patients in some community clinics in Shanghai, and analyze the influence factors. Methods:The elderly patients with hypertension in three community clinics in Shanghai were investigated with the basic information questionnaire and the Self-rated Health Rating Scale (SRHMS). The influence factors of self-rated health of these people were ana-lyzed by multiple linear stepwise regression. Results:A total of 458 elderly patients with hypertension were enrolled. The total score of SRHMS and the scores of its 3 subscales, i.e., physiological health, mental health, and social health, were 347.91±32.97, 142.29±13.03, 116.95±12.65, and 88.66±11.83, respectively. Totally, 88.4% of the patients were at good level of self-rated health. The results of multiple linear stepwise regression showed that age, primary occupation, daily times of taking antihypertensive drugs, marital status and life satisfaction were independent influence factors of the total score of SRHMS in the elderly patients with hypertension. Conclusion:The self-rated health level of elderly hypertension patients in the community clinics in Shanghai is good, and age, original occupation, daily times of taking antihypertensive drugs, marital status and life satisfaction are the influence factors.