家庭医生组合签约对脑卒中患者家庭照护的干预效果——以上海某社区为例

Intervention Effect of Family Doctor Combination Contract on Family Care of Stroke Patients: Taking a Community of Shanghai as an Example

目的:探讨"1+1+1"医疗机构组合签约模式下社区脑卒中患者的管控效果。方法:采用自制调查问卷对上海市某社区2017年1-12月期间签约和未签约的卒中患者各100人的康复情况和家庭照护者的知识掌握情况进行调查。用SPSS 17.0进行χ~2检验和方差分析。结果:干预3、6、9个月后,"1+1+1"组患者的FM及Barthel指数评分均高于对照组,并发症发病率低于对照组,差异均有统计学意义(P<0.05)。"1+1+1"组照护者护理知识掌握情况优于对照组,差异均有统计学意义(P<0.05)。结论:"1+1+1"医疗机构组合签约下,家庭医生给予签约的脑卒中患者及其家庭更多关注,签约家庭可以得到更多的社会资源,推动脑卒中病人在社区的管理和康复。

Objective:To investigate the control effect of community stroke patients under the mode of"1+1+1"medical institution combination contract.Methods:A self-made questionnaire was used to investigate the rehabilitation status and knowledge of family caregivers of 100 stroke patients and 100 unsigned stroke patients from January to December 2017 in Zhuanqiao community,Minhang district,Shanghai.SPSS 17.0 was used for chi-square test and variance analysis.Results:After 3,6 and 9 months of intervention,the FM and Bartel index scores in the"1+1+1"group were higher than those of the control group,and the incidence of complications was lower than that of the control group,and the differences were statistically significant(P<0.05).The nursing knowledge of the"1+1+1"group was better than that of the control group,and the differences were all significant(P<0.05).Conclusion:Under the combined contract of"1+1+1"medical institutions,family doctors can pay more attention to the contracted stroke patients and their families,and the contracted families can get more social resources to promote the management and rehabilitation of stroke patients in the community.