在高血压和残疾患者中,护理的连续性
Seeun Park1, Hui Won Jeon2, Jongwon Lee3
1Department of Rehabilitation Medicine, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA, 98195, USA.
Chronic illness
|September 15, 2025
概括
患有高血压和身体残疾的人经历了护理连续性的减少. 这凸显了有针对性的干预措施的必要性,以改善对这一弱势群体的医疗保健协调.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 持续护理 (COC) 对于有效的高血压管理至关重要.
- 同时出现的高血压和残疾的患病率越来越高,需要了解护理差异.
研究的目的:
- 研究高血压患者中残疾和护理连续性之间的关联.
- 为了确定身体残疾是否会影响在高血压管理中实现最佳COC的可能性.
主要方法:
- 2019年韩国国家医疗保险服务-国家样本队列的回顾性观察横截面分析.
- 包括104,280名30岁以上的高血压患者.
- 多变量逻辑回归分析了残疾对COC (Bice-Boxerman指数) 的影响,并调整了社会人口统计数据.
主要成果:
- 患有高血压和身体残疾的个人实现最佳COC的可能性降低了6.6% (OR=0.934,95% CI=0.875-0.998).
- 身体残疾与最佳护理连续性的几率较低显著相关.
结论:
- 身体残疾构成了高血压管理中最佳护理连续性的重要障碍.
- 包容残疾的医疗保健政策和有针对性的干预措施对于减少护理差异和改善残疾高血压患者的结果至关重要.
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