边远山区慢性病健康俱乐部实施效果分析

Analysis on the implementation effect of chronic health club in remote mountainous area

[目的]分析边远山区慢性病健康俱乐部实施效果,为推广慢性病健康俱乐部模式提高基本公共卫生服务质量提供科学依据。[方法]收集分析龙陵县3个乡镇高血压组、2型糖尿病组健康俱乐部实施后相关指标变化情况。[结果]2型糖尿病干预前总体知识知晓率、随机血糖达标率、服药依从比例不高,干预后随机血糖达标率、总体知识知晓率、服药依从性较干预前相应达标率分别提高23.04%及以上(P<0.05),而随机血糖值明显下降(P<0.05);高血压组干预后BIM达标率、血压达标率、服药依从性比例分别提高至少5.78%及以上(P<0.05),BMI平均值降低(P<0.05)。2个组10个问题知晓率不高,干预后几个主要问题知晓率明显提高(P<0.05)。[结论]边远山区开展慢性病健康俱乐部可作为基层公共卫生服务慢性病管理的一种重要补充手段,一定程度上提高该类地区患者服务质量,但是目前处于探索阶段,生活方式干预、对照组选取等亟待完善。

Objective To analyze the implementation effect of chronic health club in remote mountainous area so as to provide scientific basis for popularizing chronic health club mode and improving basic public health service quality. Methods Collected and analyzed the relevant index changes of hypertension, type 2 diabetes health club after the implementation from three townships in Longling. Results The index of awareness rate, the rate of random blood glucose, medication compliance ratio in the type 2 diabetes group was not high before intervention, but after in- tervention, relevant index was significantly increased at least 23.04% （P 〈 0. 05 ）, and random blood glucose level decreased significantly （P 〈 0. 05 ） . The index of BIM compliance rate, blood pressure compliance rate, percentage of drug compliance in the blood pressure group was not high before intervention, but after intervention, the relevant index was significantly increased at least 5.78% （P 〈 O. 05）, and BIM mean decrease （P 〈 0.05 ） . 2 groups of 10 questions awareness was not high, after the intervention the several major issues awareness significantly increased （ P 〈 0. 05 ） . Conclusions Chronic health club in remote mountainous areas was an important supplementary means, it can improve patients＇ service quality in such areas at a certain extent. But it is still in exploring stage. The lifestyle intervention and control group selection were urgently to be promoted.