腰椎间盘突出症家庭医生服务模式探讨

Family Doctor Service Mode for Patients with Lumbar Disc Disease

目的探讨家庭医生服务模式在腰椎间盘突出症患者中的应用效果。方法方便取样的方式选取2017年1月至2017年6月我院社区医院收治的98例腰椎间盘突出症患者为研究对象,采用随机数字表法分为常规组和家庭医生组,各49例,常规组接受常规管理模式指导下干预措施,家庭医生组接受家庭医生服务模式指导下干预措施,比较常规组和家庭医生组患者自我感受负担及负性情绪。结果经济负担、情感负担、身体负担、焦虑自评量表得分、抑郁自评量表得分在入组时差异均无统计学意义(P>0.05)。干预3个月后,家庭医生组和常规组经济负担、情感负担、身体负担、焦虑自评量表得分、抑郁自评量表得分均优于入组时,家庭医生组下降更明显(P<0.05)。结论家庭医生服务模式能够显著减轻腰椎间盘突出症患者自我感受负担,改善患者负性情绪,值得在临床应用和推广。

Objective To explore the effects of the family doctor service mode on the self-perception burden and negative emotion in patients with lumbar disc disease. Methods From January 2017 to June 2017 98 cases of lumbar intervertebral disc herniation in our community hospital were selected as the research objects by the convenient sampling,and divided into the routine group and the family doctor group,with 49 cases in each group.The routine group received the intervention measures under the guidance of the conventional management mode,and the family doctor group received the guidance of the family doctor service model.The self perceived burden and negative emotion were compared between the normal group and the family doctor group. Results Before intervention,there were no statistically significant difference between the family doctor group and the normall group patients in the economic burden,emotional burden,physical burden,Self rating Anxiety Scale score（SAS）,Self rating Depression Scale score（SDS）（ P 〉0.05）.After three months of intervention,the scores of economic burden,emotional burden,physical burden,Self rating Anxiety Scale score,Self rating Depression Scale score between the family doctor group and the concentional group were better tan those of the control group,and the decrease of the family doctor group was more significantly （ P 〈0.05）. Conclusion Individualized health management can significantly reduce the self-perception burden of patients with lumbar disc diseases,which can significantly improve the negative emotions of patients,and it is worthy of clinical application and promotion.