社区家庭医生责任制、疾控督导在肺结核防治中的研究

Research about community family doctor responsibility system and disease control supervision on the prevention and treatment of pulmonary tuberculosis

目的探讨分析社区家庭医生责任制、疾控督导在肺结核防治中的价值。方法选取2019年12月至2020年11月宜春市袁州区凤凰街道社区卫生服务中心报告的120例肺结核患者,采用随机数字表法分为观察组(n=60)和对照组(n=60),对照组采用医院延续性护理方案进行干预,观察组采用社区家庭医生责任制联合疾控督导进行干预,比较两组患者服药依从性及自我管理水平。结果观察组患者服药总依从率高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者自我管理评分均高于本组干预前,且观察组自我管理评分高于对照组,差异有统计学意义(P<0.05)。结论社区家庭医生责任制联合疾控督导可提高患者的服药依从率,改善患者自我管理水平。

Objective To explore and analyze the value of community family doctor responsibility system and disease control supervision on the prevention and treatment of pulmonary tuberculosis.Methods A total of 120 patients with pulmonary tuberculosis reported by Fenghuang Street Community Health Service Center in Yuanzhou District of Yichun City were collected from December 2019 and November 2020.The patients were divided into observation group(n=60)and control group(n=60)according to random number table method.The control group was intervened by hospital continuous nursing regimen,and the observation group was intervened by community family doctor responsibility system combined with disease control supervision.The medication compliance and self-management level of the two groups were compared.Results The total medication compliance of observation group was higher than that of control group,the difference was statistically significant(P<0.05).After intervention,the scores of self-management dimensions in the two groups were higher than those before intervention,and the scores in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion Community family doctor responsibility system combined with disease control supervision can enhance the medication compliance rate and improve the self-management level.