论文部分内容阅读
目的探讨家庭医生式服务对老年慢性病患者的应用效果。方法选取2014年2月—2016年2月梧州市城北社区卫生服务中心老年慢性病患者400例,采用随机数字表法分为试验组和对照组,每组200例,对照组采用普通管理教育模式,试验组采用家庭医生式服务。对比两组干预前后健康知识知晓率和健康行为遵从率,血压、空腹血糖、餐后2h血糖、总胆固醇、三酰甘油水平变化情况,干预后使用简化生活质量量表SF-36为患者进行评估,对比两组干预前后对医疗机构和医务人员的满意度。结果干预前两组健康知识知晓率、健康行为遵从率比较,差异均无统计学意义(P>0.05);干预后试验组老年慢性病危险因素、健康生活方式、心理健康、高盐饮食健康影响、吸烟/被动吸烟健康损害、预防糖尿病措施、预防冠心病措施、预防高血压措施知晓率高于对照组(P<0.05);干预后试验组合理摄入主食、合理摄入新鲜蔬菜水果、合理饮奶、适当运动、按医嘱服药、控制盐的摄入、控制油的摄入、吸烟、饮酒、心理平衡、定期复查遵从率高于对照组(P<0.05)。干预前两组收缩压、舒张压、空腹血糖、餐后2h血糖、总胆固醇、三酰甘油水平比较,差异无统计学意义(P>0.05);干预后试验组收缩压、三酰甘油水平低于对照组(P<0.05)。干预后试验组生理功能、生理职能、躯体疼痛、总体健康评分高于对照组(P<0.05)。干预前两组患者对医疗机构和医务人员满意度比较,差异无统计学意义(P>0.05);干预后试验组患者对医疗机构和医务人员满意度高于对照组(P<0.05)。结论家庭医生式服务对老年慢性病患者的应用效果显著,可考虑在临床中推广。
Objective To explore the effect of family doctor service on elderly patients with chronic diseases. Methods From February 2014 to February 2016, 400 cases of chronic chronically ill elderly were enrolled in the community health service center in north of Wuzhou city. They were randomly divided into experimental group and control group with 200 cases in each group. The control group received general management education mode, The experimental group used a family doctor service. Before and after the intervention, the awareness rate of health knowledge, the compliance rate of healthy behaviors, blood pressure, fasting blood glucose, postprandial 2h blood glucose, total cholesterol, and triglyceride levels were compared. After treatment, the patients were assessed using the simplified quality of life scale SF-36 , Compared the two groups before and after the intervention of medical institutions and medical staff satisfaction. Results There were no significant differences in the awareness rate of health knowledge and the compliance rate of healthy behaviors between the two groups before intervention (P> 0.05). After intervention, risk factors of elderly chronic diseases, healthy life style, mental health, health effects of high-salt diet, The awareness rate of smoking / passive smoking health damage, prevention of diabetes, prevention of coronary heart disease and prevention of hypertension were higher than those of the control group (P <0.05). After the intervention, the experimental group rationally took in the staple food, rationally consumed fresh fruits and vegetables, Milk, proper exercise, medication according to doctor ’s advice, control of salt intake, control of oil intake, smoking, drinking, psychological balance, regular review compliance rate was higher than the control group (P <0.05). Before intervention, the systolic blood pressure, diastolic blood pressure, fasting blood glucose, postprandial 2h blood glucose, total cholesterol and triglyceride levels had no significant difference (P> 0.05); after the intervention, systolic blood pressure and triglyceride In the control group (P <0.05). After intervention, the physiological function, physical function, physical pain and overall health score of the experimental group were higher than those of the control group (P <0.05). There was no significant difference in satisfaction between medical institutions and medical staff before intervention (P> 0.05). Satisfaction degree of medical institutions and medical staff in experimental group was higher than that of control group after intervention (P <0.05). Conclusion The application of family doctor service to elderly patients with chronic diseases is significant and can be considered in clinical practice.