家庭医生签约服务模式在社区慢性病高危人群中的干预效果

Intervention effect of family doctor contracted service model in community at high risk groups of chronic diseases

目的:观察家庭医生签约服务模式在社区慢性病高危人群中的干预效果。方法:选取社区慢性病高危人群140例,随机分为两组各70例。对照组采取常规健康管理,观察组给予家庭医生签约服务模式。对比两组干预效果。结果:观察组干预后吸烟饮酒、不良饮食、缺乏运动比例及健康知识评分均明显优于对照组,差异有统计学意义(P<0.05)。结论:为社区慢性病高危人群采取家庭医生签约服务模式,可显著改善不良生活习惯及慢性病危险因素,且临床健康知识知晓率得到显著提高。

Objective:To observe the intervention effect of family doctor contracted service model in high risk groups of chronic diseases in community.Methods:140 patients with high risk of chronic diseases were enrolled,and they were randomly divided into two groups.The control group adopted routine health management,while the observation group adopted the family doctor contracted service mode.The effect of intervention was compared between groups.Results:The scales of smoking and drinking,bad diet and lacking of exercise and health knowledge score after intervention in the observation group were significantly better than the control group,and the differences were statistically significant(P<0.05).Conclusion:To adopt a family doctor contracted service model for high risk people with chronic diseases in the community can significantly improve bad living habits and risk factors for chronic diseases,and it also can significantly increase the awareness rate of clinical health knowledge.