Liu Suzhen, Professor, community director of the Department of Chronic Diseases. Since 2007, he has served as, director of Sichuan Provincial Nursing Association, deputy director of the Professional Committee of community care and chairman, served as the "Chinese Community Doctors" working editors and other staff. In 1984 he graduated from the Medical School of Nursing Huaxi Medical University in 1990, graduated from Huaxi Medical University in 1998, graduated from Chiang Mai University in Thailand master's degree in nursing. He had worked in the former West China Medical University Affiliated Hospital in occupational disease prevention and occupational health care, since 1999 worked in the West China Hospital of Sichuan University / West China School of Nursing, in community nursing and nursing teaching. He has to Zoe University of Illinois, University of Rochester, the University of Manitoba, Canada, Hong Kong Polytechnic University and other schools to visit to learn. The main teaching community nursing aged care, nursing and health care sociology courses. On the basis of nursing practice and teaching work, working on nursing disciplines.
Background/context of paper
Patient satisfaction is one of the desired outcomes of health care service and is also an important indicator of health cere improvement. Chroic illness (including hypertension and diabetes) managerment care, which was one of basic public health service, was widely spreaded in community health centers from 1999 in China. Although general practice physician is the core of chronic illness managerment care delivery in Chian, communtiy nurses play an important role. However, how patient evaluating the nursing care and the relationship between patient satisfaction and blood pressure control remains ill defined.
Aim of paper
1. To assess blood pressure control of patients with hypertension in urban community of Sichuan province.
2. To describe level of patients’ satisfaction with chronic illness management care provided by community health nurses in urban area of Sichuan provience.
3. To explore the relationship between patients’ blood pressure control and satisfaction with chronic illness management nursing care.
Methods (for research papers)
The cross-sectional and questionnaire survey was condacted in this study. Convinence sampling was used to selecte 19 community’s health service centers as the study setting from capital city and 11 perfecture-level cities of Sichuan Provience except tri-states cities. 2279 patients were invited with convinence sampling mathod. Face-to-face interview were performed to collecte data. Fanally, 2279(89.1%) questionnaires were completed effectively.
Key points for discussion
Most of the community patients with hypertension (1350, 59.2%) were old people (≥65 years old). 1317(57.8%) patients controled their high blood pressure successfully. Compaired with other survey in China, the control rate was higher. However, 10.9% (249) of the patients didn’t know their blood pressure. They didn’t care about treatment effect actively.
Generally, the patients satisfied nearly with managerment care provided by community nurses (the total average score was 3.91±0.67, with 5 being most satisfied). Among 6 dimensions of satisfaction, patients expressed the greatest satisfaction with nurses’ etiquette and technical skill (average score=4.06 and 4.01), greater satisfaciton with care provided by other health worker(average score=3.91), but Less satisfied with following-up care by nurses, collaborating with other health workers and health guiding by nurses(average score=3.84).
The patients with blood pressure non-controled less satisfied with the chronic illness managerment care provided by community nurses than patients with blood presure controled (t=2.88, P=0.004). Among the 6 dimesions, except collaborating with other health workers (t=1.72,p=0.086), patients with blood pressure well controled got more satisfaction than that bad controled (P<0.05)
Conclusion and recommendations
Blood pressure control rate of patients received chronic illness management care provided by community nurses were increased. Patients with blood pressure well controled showed more satisfaction with nursing managerment care than that un-controled. Strengthening the role function of community nurses in chronic illness management care will contribut to achieve successful blood pressure control.