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目的探讨充血性心力衰竭患者的社区卫生管理方法。方法选取社区2006年1月出院后的30例充血性心力衰竭患者,按照出院时心功能情况随机分为A(观察组)、B(对照组)两组,每组15例,除出院后均给予正规抗心衰治疗药物外,A组进行社区卫生管理,采用全科医学基本原则,予人格化和综合性照顾、连续性照顾、协调性照顾和可及性服务等方面,进行系统管理;B组按照一般患者出院后在家服药。结果1年后,6分钟步行试验、第6个月再住院率、1年后病死率、年度平均医疗费用A组较B组均有显著差异。结论社区卫生管理中采用全科医学的基本原则管理充血性心衰合理有效,值得推广并不断完善。
Objective To explore community health management in patients with congestive heart failure. Methods Thirty patients with congestive heart failure after discharged from hospital in January 2006 were randomly divided into A (observation group) and B (control group), 15 cases in each group according to the cardiac function at discharge. In addition to regular anti-heart failure drugs, Group A conducts community health management and adopts the basic principles of general medicine to conduct systematic management in respect of personalized and comprehensive care, continuous care, coordinated care and accessible services. B In accordance with the general group of patients at home after discharge medication. Results One year later, the 6-minute walk test, the sixth-month rehospitalization rate, the one-year mortality rate, the annual average medical expenses in group A were significantly different from those in group B. Conclusion The management of congestive heart failure using the basic principles of general practice in community health management is reasonable and effective, worthy of promotion and continuous improvement.