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目的探讨家庭医生式服务在老年人慢性病健康管理中的应用效果。方法选择中山火炬高技术产业开发区社区500例老年慢性病患者作为研究对象,按患者意愿参与家庭医生式服务与否将其分为研究组与对照组,每组250例,服务1年后比较两组的中医体质辨识服务率、慢病知识知晓情况、自我控制行为、血压、血糖控制情况及满意度调查。结果研究组的中医体质辨识服务率(83.60%)及满意率(95.20%)均明显高于对照组(52.40%、84.80%),差异有统计学意义(P<0.05)。研究组的慢病知识得分(82.14±7.31)分显著高于对照组(71.27±8.05)分,差异有统计学意义(t=15.805,P<0.05)。研究组自我控制行为均明显优于对照组,差异有统计学意义(P<0.05)。研究组的血压、血糖控制率均明显高于对照组(P<0.05)。结论家庭医生式服务有利于促进社区老年人慢性病健康管理工作规范化,提高健康管理成效。
Objective To explore the effect of family doctor service on the health management of chronic diseases in the elderly. Methods A total of 500 elderly patients with chronic diseases in Zhongshan Torch Hi-tech Industrial Development Zone were selected as study subjects. Family physicians were divided into study group and control group according to patients’ willingness. Patients in each group were divided into study group and control group Group TCM constitution identification service rate, knowledge of chronic disease awareness, self-control behavior, blood pressure, blood glucose control and satisfaction survey. Results The TCM diagnosis service rate (83.60%) and satisfaction rate (95.20%) in the study group were significantly higher than those in the control group (52.40%, 84.80%), with statistical significance (P <0.05). The score of chronic disease knowledge in the research group (82.14 ± 7.31) was significantly higher than that in the control group (71.27 ± 8.05), the difference was statistically significant (t = 15.805, P <0.05). Study group self-control behavior were significantly better than the control group, the difference was statistically significant (P <0.05). The study group’s blood pressure, blood glucose control rates were significantly higher than the control group (P <0.05). Conclusion Family doctor service is helpful to standardize the management of chronic diseases of the elderly in the community and improve the effectiveness of health management.