中国全科医学2016，Vol.19Issue(16)：1955-1959,5.DOI:10.3969/j.issn.1007-9572.2016.16.023
陕西汉中乡村医生队伍构成及其高血压防治能力状况调查
Team Structure and Hypertension Treatment and Prevention Ability of Village Doctors in Rural Areas of Hanzhong, ;Shaanxi Province
摘要
Abstract
Objective To investigate the team structure of village doctors and their treatment and prevention ability of hypertension in rural areas of Hanzhong,Shaanxi Province. Methods Using cluster sampling method,we selected Hantai District in Hanzhong City, Shaanxi Province, where a comprehensive hypertension prevention and control program for rural population was conducted,as study site. Then we selected all 182 villages under the jurisdiction of the nine agricultural townships in Hantai District. The objects of investigation were all village doctors who undertake the public health service in village. In July 2014,face-to -face survey was conducted to village doctors using a self -designed questionnaire. The main content of the questionnaire included the general characteristics of village doctors and village doctors' abilities of diagnosis, treatment and prevention of hypertension. A total of 201 questionnaires were distributed and 196 effective questionnaires ( 97. 5%) were collected,excluding five questionnaires from village doctors who don't undertake the public health service. Results Among the 196 village doctors,47(24. 0%)village doctors were 60 years old or above,47(24. 0%)cases were high school level or lower education level,19(9. 7%)cases were practicing assistant doctors and 14(7. 1%)cases were practicing doctors. 79 (40. 3%)village doctors measured blood pressure for the first-time-visit middle-aged and elder patients as the guidelines for prevention and treatment of hypertension suggested. 184(93. 9%)cases measured blood pressure for the hypertensive patients at each visit. 70(35. 7%)cases mastered all the key points of the standard method of blood pressure measurement. 49(25. 0%) cases fully grasped the diagnosis criteria of hypertension. 179 ( 91. 3%) cases knew the goal blood pressure level of anti -hypertensive treatment. Only 4(2. 0%)cases and 3(1. 5%)cases classified blood pressure and answered the five questions about the risk level stratification correctly. 131 ( 66. 8%)cases mastered the principles for treatment of hypertension. The five most common-used antihypertensive drugs of the village doctors were indapamide(150 cases,76. 5%),compound reserpine triamterene(124 cases,63. 3%),enalapril(120 cases,61. 2%),reserpine(113 cases,57. 7%),and nifedipine(102 cases,52. 0%). 164(83. 7%)cases usually carried out health education to the hypertensive patients at the daily outpatient visits. Results of analysis on the influential factors of village doctors' abilities of treatment and prevention of hypertension showed that village doctors with different gender and qualification were not significantly different in the ability of treatment and prevention scores for hypertension(P﹥0. 05). Village doctors with different age and education level were significantly different in ability of treatment and prevention scores for hypertension(P﹤0. 05). Conclusion Village doctors in rural areas of Hanzhong District were aging and education and with low qualification level. Their ability of prevention and treatment of hypertension is low. Aging and education level affect village doctors'ability of treatment and prevention of hypertension.关键词
农村/村医/高血压/防治能力Key words
Rural area/Village doctor/Hypertension/Treatment and prevention ability分类
医药卫生引用本文复制引用
赵亚玲,李强,党少农,陈宇,曹蕾,杨睿海,颜虹..陕西汉中乡村医生队伍构成及其高血压防治能力状况调查[J].中国全科医学,2016,19(16):1955-1959,5.基金项目
陕西省科学技术研究发展计划项目（2013K14-02-15）；美国中华医学基金会（CMB）项目 （）
