主要高血压的社区住院患者的医生与患者的沟通:一个横截面研究
Tao Liu1, Hancheng Li1, Minghao Xing2
1Department of Cardiovascular Medicine, The Third Xiangya Hospital, Central South University, No. 138, Tongzipo Road, Yuelu District, Changsha City, 410000, Hunan Province, China.
Internal and emergency medicine
|November 8, 2025
概括
大多数高血压患者经历了低于最佳的医生与患者沟通,特别是在药物治疗方面. 肥胖和高血压持续时间长等因素会使沟通恶化,而高等教育和收入则会改善沟通.
科学领域:
- 社区健康 社区健康
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医生与患者之间的沟通对于管理诸如高血压等慢性疾病至关重要.
- 有效的沟通影响治疗的坚持和健康结果.
- 了解影响沟通质量的因素对于改善社区环境中的护理至关重要.
研究的目的:
- 评估中国社区卫生服务中高血压患者之间的医生与患者沟通质量.
- 确定与非最佳沟通相关的人口和临床因素.
- 评估与高血压相关的沟通内容是否足够.
主要方法:
- 一项涉及中国长沙546名高血压患者的横截面研究.
- 使用了Set Elicit Give Understand End (SEGUE) 框架和一个自己开发的问卷.
- 进行了多变量逻辑回归分析,以确定相关因素.
主要成果:
- 70.7%的患者报告说,医生与患者之间的沟通不足 (SEGUE分数<80).
- 与高血压相关的沟通,特别是关于药物的重要性和副作用的沟通,是不够的.
- 肥胖 (BMI>28 kg/m2) 和更长的高血压持续时间 (<10年) 与更差的沟通有关.
- 高等教育,收入增加和更好的认知功能与更好的沟通有关.
结论:
- 在社区卫生服务中的高血压患者中,医生与患者的不理想沟通普遍存在.
- 肥胖,高血压持续时间,教育水平,收入和认知功能显著影响沟通质量.
- 干预措施应解决这些因素,以加强医生与患者的沟通,并改善高血压管理.
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