社区卫生服务在慢性非传染性疾病防治中的作用

Function of community health service in the prevention and cure of non-infectious chronic diseases

目的 评价我院开设的家庭病床在慢性非传染性疾病防治中所起的作用。方法 开展前瞻性的对 116例家庭病床患者进行健康教育、指导和家庭治疗与自我管理相结合的研究 ,并对患者的临床转归及患者对家庭病床满意度调查进行分析评定。结果 经长期跟踪随访 ,系统管理治疗规范组其慢病控制率明显高于间歇规范组及完全不规范组 ,而并发症发生率及死亡率均明显低于间歇规范组及完全不规范组 (P <0 0 5、0 0 1) ;家庭病床总满意度为 95 6 9%。结论 家庭病床在防治慢性非传染性疾病方面不仅方便、经济 ,而且有效。

Objective To evaluate the function of the domestic sickbeds set up by our hospital in the prevention and cure of non infectious chronic diseases. Methods A perspective study was made through offering health education, guidance and home treatment to 116 cases using domestic sickbeds and employing the method of self management. In addition, the clinical treatment results of the patients and the rate of their satisfaction towards domestic sickbeds were surveyed, analyzed and assessed. Results Through long term follow up visits, it was found that compared with the intermittently standardized group and the completely non standardized group, the control rate of chronic diseases in the standardized group with systematic management and treatment was significantly higher while the rates of complications and mortality were much lower (P<0 05 and 0 01). The total rate of satisfaction towards domestic sickbeds was 95.69%. Conclusion Domestic sickbeds are effective as well as convenient and economical in the treatment and cure of non infectious chronic diseases.