社区慢病患者入户随访需求情况调查分析

Investigation on the follow up demand of patients with chronic disease in the community

目的了解社区慢病患者延续性护理入户随访方式需求情况,为提高社区慢病患者康复依从性提供参考依据。方法自行设计调查问卷,于2016年10-12月在城区西园社区随机选取370例慢性病患者,以入户随访方式对其需求情况进行调查。结果收回有效问卷362份,其中选择入户随访的为189名患者,占52.21%(189/362)。不同年龄、婚姻状况疾病种类入户随访需求比较差异有统计学意义(P<0.01),不同性别、职业、文化程度需求比较差异无统计学意义(P>0.05)。结论延续性护理可为社区慢病患者延伸护理服务,使慢病患者掌握自我保健、自我康复等技能,从而维持病情稳定,延缓、减少或避免慢病并发症的发生。为此,延续性护理是护理工作的重要组成和补充。入户随访成为基层医院护士延续性护理服务的主要方式,尤其适用于年龄大以及行动不便的肿瘤、糖尿病、骨科疾病和脑血管疾病等行动困难的患者。入户随访是延续性护理的重要方法,可以更好地为社区慢病患者提供延续护理服务,提高生活质量,延长生命。

Objective To understand the demand for continuous care of patients with chronic disease in the community and provide the reference basis for improving the continuity of nursing patients with compliance. Methods From October to December in 2016, the questionnaire was designed, a random sample of 370 patients with chronic disease were investigated in the urban west garden community. Results Recycling 362 effective questionnaire, the 189 patients who were followed up accounted for 52. 21% （189/362）. There were statistical significance for the type of household follow-up requirements of different age and marital status（ P 〈0.01 ） ,different gender,occupational and cultural requirements were not statistically signif- icant （ P 〉 0.05 ）. Conclusion Continuous care could extend further care to patients with chronic disease in the community, patients with chronic disease are able to maintain stability, delay, reduce or avoid the occurrence of chronic disease complications by mastering the skills of self-care and self-healing. Continuous nursing is an important component and supplement of nursing work. The main way of nursing service in the primary hospital was to follow up especially for patients with aged and mobility difficulties, such as cancer, diabetes, orthopaedic disease and eerebrovaseular disease. The follow-up is an important method, the continuity of care can improve better continue nursing service for the community patients with chronic disease, improve their quality of life and prolong their life.