治未病健康分级管理模式的应用效果

Application effect of the prevention first health classification management mode

目的 :观察治未病健康分级管理方案在社区老年人中的应用效果。方法 :随机选取2个居委会的303例社区老年人,分为干预组144例和对照组159例,分别按照治未病健康分级管理,对照组采用健康指导和管理。干预1年后观察效果。采用卡方检验比较干预前后率和构成比的变化。结果 :干预组和对照组分别有141例和152例完成研究。干预后,干预组体质指数(BMI)正常比例为71.6%(101/141),明显高于对照组的55.3%(84/152,P<0.05)。干预后,干预组"不经常体育锻炼"率由干预前的60.4%(87/141)下降至41.1%(58/141),差异有统计学意义(χ2=10.598,P<0.05)。满意度调查中,干预组的体检结果传达的及时性、服务态度和健康管理效果的满意率分别为95.7%(135/141)、100.0%(141/141)和85.8%(121/141),均高于对照组的89.5%(136/152)、96.7%(147/152)和75.7%(115/152),差异有统计学意义(P均<0.05)。结论:老年人对治未病健康分级管理接受度较高,该方案对于改善老年人健康状况有积极作用,应注重健康分级管理的长期效应观察。

Objective： To observe the implementation effect of the scheme of the prevention first health classification management in the community elderly people. Methods： Three hundred and three elderly people in 2 communities were selected randomly and divided into an intervention group with 144 cases and a control one with 159 cases, and the intervention group was managed according to the prevention first health classification, and the control one with the health guidance and management, respectively. After one year intervention, the results were observed. Results： The intervention and control groups had 141 and 152 cases finished the research. The normal rate of BMI was 71.6%（101/141） which was higher in the intervention group than 55.3%（84/152） in the control group（P〈0.05）. The rate of ＂non regular physical exercise＂ in the intervention group decreased from 60.4%（87/141） to 41.1%（58/141）, and the difference had the statistical significance（χ2=10.598, P〈0.05）. In the satisfaction survey, the satisfaction rates of the timeliness to convey the examination results, service attitude and health management effectiveness were 95.7%（135/141）, 100.0%（141/141） and 85.8%（121/141） in the intervention group, which were higher than 89.5%（136/152）, 96.7%（147/152） and 75.7%（115/152） in the control group, whose differences had the statistical significance（P〈0.05）. Conclusion： The elderly people has a high degree of acceptance for the prevention first health classification management and the scheme has the positive function in the improvement of the elderly health condition, and attention should be paid to the observation of the long term effect of the health classification management.