杭州市天水武林社区老年人感染幽门螺杆菌的危险因素及社区-家庭联动健康管控模式的干预效果

Risk factors of Helicobacter pylori infection among the elderly in Tianshui Wulin community and the interven⁃tion effect of community family linkage health control model

目的研究杭州市天水武林社区老年人感染幽门螺杆菌的危险因素及社区-家庭联动健康管控模式的干预效果。方法选择进行健康体检的人群120例作为研究对象,分析老年人感染幽门螺杆菌的危险因素。所有阳性患者在进行诊断后,及时开展干预,根据干预方式不同分为干预组和对照组,干预组采用社区-家庭联动健康管控模式干预,对照组采用常规延续性护理,两组患者均干预12周。比较两组干预前后生命质量评分和幽门螺杆菌阳性复发情况。结果120例经尿素呼气试验结果显示,幽门螺杆菌感染患者70例,未感染患者50例。幽门螺杆菌阳性与阴性患者的受教育年限、年收入情况、生食饮水、生食蔬菜间比较,差异均有统计学意义(t分别=5.31、6.59,χ^(2)分别=10.74、5.64,P均<0.05),进一步logistic多因素分析显示,受教育年限较小、年收入情况较低、生食饮水、生食蔬菜均是造成幽门螺杆菌阳性的危险因素(OR分别=1.02、1.63、1.09、1.02,P均<0.05)。干预后,干预组的生理领域、心理领域、社会关系以及环境领域评分均明显高于对照组(t分别=5.53、10.17、4.57、3.04,P均<0.05)。随访1年后,干预组患者的幽门螺杆菌阳性复发率明显低于对照组(χ^(2)=5.61,P<0.05)。结论受教育年限较小、年收入情况较低、生食饮水、生食蔬菜均是造成幽门螺杆菌感染的危险因素。社区-家庭联动健康管控模式干预对于感染幽门螺杆菌患者的效果明显。

Objective To study the risk factors of Helicobacter pylori infection in the elderly in Tianshui Wulin com-munity and the intervention effect of community family linkage health management mode.Methods A total of 120 healthy people were selected as the research object.The risk factors of helicobacter pylori infection in the elderly were an-alyzed.After diagnosis,all positive patients were timely received intervention.They were divided into intervention group and control group according to different intervention methods.The intervention group adopted community family linkage health control mode intervention,and the control group adopted routine continuity nursing.Both groups of patients were in-tervened for 12 weeks.Quality of life score and positive recurrence of Helicobacter pylori were compared between the two groups before and after intervention.Results The results of urea breath test showed that 70 patients were infected with Helicobacter pylori and 50 patients were not infected.There were significant differences between Helicobacter pylori posi-tive and negative patients in education years,annual income,raw drinking water and raw vegetables(t=5.31,6.59,χ^(2)=10.74,5.64,P<0.05).Multivariate analysis showed that the risk factors of Helicobacter pylori positive were shorter time of education,low annual income,raw drinking water and raw vegetables(OR=1.02,1.63,1.09,1.02,P<0.05).After the intervention,the scores of physiological field,psychological field,social relationship and environmental field of the inter-vention group were significantly higher than those of the control group(t=5.53,10.17,4.57,3.04,P<0.05).After one year of follow-up,the positive rate of Helicobacter pylori in intervention group was significantly lower than that in control group(χ^(2)=5.61,P<0.05).Conclusion Shorter time of education,low annual income,raw food and drinking water,raw vegetables are the risk factors of Helico-bacter pylori infection.The effect of community family linkage health control model intervention on patients with Helicobacter pylori infection is significant.