家庭医生签约服务模式干预社区慢性病高危人群的价值

The Value of the Family Doctor Contract Service Model to Intervene in the High-risk Population of Chronic Diseases in the Community

目的探析对社区慢性病高危人群实施家庭医生签约服务模式干预的价值。方法从2016年1月—2019年1月第四人医院公共卫生服务科抽取100例社区慢性病高危人群,根据随机数字法将其分成对照组和研究组,对照组50例患者行以常规护理,研究组50例患者行以家庭医生签约服务模式干预,对照分析两组干预效果。结果经对照分析,从干预总有效率上来看,研究组高于对照组(P<0.05);干预前两组患者健康知识掌握程度评分对比差异无统计学意义(P>0.05),干预后两组患者健康知识掌握程度评分均提高,研究组高于对照组(P<0.05);干预后研究组存在吸烟饮酒、不良饮食、缺乏锻炼三项危险因素的患者占比少于对照组(P<0.05)。结论对社区慢性病高危人群实施家庭医生签约服务模式干预的效果确切,可以提高慢性病高危人群健康知识的掌握程度,避免危险因素的影响,干预价值显著。

Objective To explore the value of intervention in the model of family doctor contract service in high-risk populations of chronic diseases in the community.Methods 100 high-risk groups of chronic diseases in the community were selected from the Public Health Service of the Fourth Person Hospital from January 2016 to January 2019.They were divided into the control group and the study group according to the random number method.50 patients in the control group underwent routine nursing,and 50 patients in the study group with familied doctors signed service model intervention and compared the effects of the two groups.Results After comparison,the total effective rate of the intervention was higher in the study group than in the control group(P<0.05).There was no statistical significance of the difference in the scores of the health knowledge of the two groups before the intervention(P>0.05).The scores were all higher in the study group than in the control group(P<0.05).After the intervention,the proportion of patients with smoking,drinking,and lack of exercise was less than that of the control group(P<0.05).Conclusion The effect of implementing the family doctor contract service model intervention in the high-risk groups of chronic diseases in the community is accurate,which can improve the mastery of health knowledge of high-risk groups of chronic diseases,avoid the influence of risk factors,and the intervention value is significant.