重庆某干休所老干部慢性病管理现状与对策

Current situation and countermeasures of chronic disease management for the retired veteran cadres

目的探讨彭家花园干休所老干部的慢性病管理现状,并提出相应对策。方法选择2012年12月至2013年12月在重庆警备区彭家花园干休所的老干部共48例作为调查对象。在目前的单病种管理模式下,观察该干休所老干部高血压、肺心病、慢性支气管炎等慢性疾病的分布情况,并根据疾病情况分为慢性病组和正常组,比较两组老干部的焦虑、抑郁情况以及对目前管理模式的满意度。结果 48例老干部中,慢性病患者共39例,正常9例,慢性疾病患病率为81.25%;其中高血压15例,肺心病10例,慢性支气管炎7例,骨关节病5例,脑血管病2例。慢性病组的焦虑和抑郁评分分别为(25.83±2.36)、(31.37±5.45)分,明显高于正常组的(12.65±1.89)、(9.81±1.25)分;并且慢性病组对目前慢性病管理措施的满意度为71.79%,明显低于正常组的88.89%,两组间比较差异有统计学意义(P<0.05)。结论在目前慢性病管理现状下,慢性病患病率极高,患者常表现出焦虑、抑郁等负性情绪,严重影响患者健康。

Objective To investigate the chronic disease management status of the veteran in Peng Garden re-tired cadres and propose appropriate countermeasures .Methods A total of 48 retired cadres were selected in Peng Garden retired cadres of Chongqing Garrison from Dec .2012 to Dec .2013 for the survey .Under the single disease management model ,observed the distribution of the chronic diseases such as high blood pressure ,lung disease and chronic bronchitis of the veteran in retired cadres .And all the retired cadres were divided into the chronic group and the normal group depending on the disease .Compared the situation of the anxiety and depression as well as the the satisfaction of the current management model in the two groups .Results In the 48 cases ,there were 39 cases with chronic diseases and 9 cases were healthy ,the incidence of the chronic disease was up to 81 .25% .Among them ,15 patients suffered from hypertension ,10 patients suffered from pulmonary heart disease ,7 patients suffered from chro-nic bronchitis ,5 patients suffered from osteoarthritis and 2 patients suffered from cerebrovascular disease .The anxie-ty and depression scores of the chronic group were（25 .83 ± 2 .36） ,（31 .37 ± 5 .45）respectively ,which were significant higher than those of the normal group（12 .65 ± 1 .89） ,（9 .81 ± 1 .25） .Under the currently chronic disease manage-ment measures ,the satisfaction of the chronic group was low to 71 .79% ,which was significant lower than the 88 . 89% that of the normal group （P〈 0 .05） .Conclusion Under the current management of chronic diseases ,the inci-dence of the chronic diseases is high and patients often exhibit negative emotions such as anxiety and depression , which seriously affects the health of patients .