Objectives:With the patient's family influence as the breakthrough point,to explore the feasibility of medical opinion leaders in the chronic disease intervention from family support perspective.Methods:Revised opinion seeking scale by Flynn was used.Multistage randomized cluster sampling was used to select 4 communities in Jingrnen.Face-to-face survey was carried out.Chi-square test and Wilcoxon test were used to compare the difference between groups.Results:The differences between medical opinion leader and ordinary patients in health management initiative (prevention knowledge:Z =-5.347,P＜0.01;health behavior control:Z=-4.729,P＜0.01),health management impact tendency (affect others prevention knowledge:Z=-6.904,P＜0.01;persuade others to improve behavior:Z =-6.931,P＜ 0.01;persuade others to give up smoking and drinking:Z =-6.286,P＜ 0.01),family knowledge impact score (Z=-3.696,P＜0.01)were statistically significant.No difference was found between medical opinion leaders and ordinary patients in the family arthority of prevention and treatment of chronic diseases.Conclusions:Potential medical opinion leaders who had higher health management initiative intend to influent families and change their health knowledge.Medical opinion leaders could be helper in Community chronic disease management.%目的:以患者对家庭的影响力为切入点,探讨患者型医疗意见领袖在慢性病干预中的介入可行性.方法:采用修改的Flynn意见领袖问卷进行识别,运用分阶段整群随机抽样的方法选取荆门市4个小区265名高血压患者进行调查,采用卡方检验、Wilcoxon秩和检验进行组间比较.结果:筛选出的医疗意见领袖在健康管理主动性(获得防治知识,Z=-5.347,P＜0.01;健康行为控制,Z=-4.729,P＜0.01)、健康管理影响他人意愿(影响他人防治知识,Z=-6.904,P＜0.01;劝说他人改善行为,Z=-6.931,P＜0.01;劝说他人戒烟戒酒,Z=-6.286,P＜0.01)和对家庭所有成员知识影响评分(Z=-3.696,P＜0.01)等方面显著高于普通患者;但对家庭所有成员健康行为影响力评分方面两组未见显著差异.结论:潜在医疗意见领袖具有较强的健康管理主动性、健康管理影响他人意愿,以及较高的家庭知识影响力,在社区慢性病干预中具有知识传播的介入可行性.
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