全科医师对冠心病患者健康管理的探讨

Exploration of health management in patients with coronary heart disease by general practitioner

目的:分析探讨全科医师将综合性管理模式应用于冠心病健康管理中的重要价值.方法:选取我中心收治的42例冠心病患者实施健康管理,根据其选择接受的健康管理模式的不同将其分成综合组(24例)和常规组(18例).结果:健康管理6个月后综合组患者的知识掌握率、病情控制率、药物使用率均明显高于常规组(P<0.05),且综合组的并发症发生率、病死率也显著低于常规组(P<0.05).结论:我中心对冠心病患者实施综合健康管理,可显著提升患者的冠心病预防、自救知识储备率、药物服用率,并达到有效控制病情、提高生活质量、改善预后的目的.

AIM： To explore the application of integrated man- agement model in health management for coronary heart disease by general practitioner. METHODS： A total of 42 patients with cor- onary heart disease in our health center were selected and divided into the comprehensive group （24 cases） and control group （18 cases） according to the different health management mode. RESULTS： The mastery of knowledge, disease control rate, drug use rates of comprehensive group were significantly better than those of control group （ P 〈 0.05 ） after 6-month health manage- ment, and meanwhile the incidence of complications as well as the mortality rate of comprehensive group were significantly lower （ P 〈 0.05 ）. CONCLUSION ： The implementation of integrated health management on patients with coronary heart disease in our health center can significantly improve patients＇ knowledge about prevention and self-help, reserve rate, rate of drug taking, and effectively control the disease, improve the quality of life and prognosis.