家庭医生团队管理模式对农村脑卒中患者血脂水平的影响

Influence of Family Doctor Team Management Mode on Blood Lipid Levels of Stroke Patients in Rural Areas

目的:探讨家庭医生团队管理对农村脑卒中患者血脂水平的影响。方法:选取2018年10月—2020年7月于上海市奉贤区西渡街道社区卫生服务中心签订家庭医生服务协议的242例脑卒中患者作为观察组,选取2017年10月—2018年9月上海市奉贤区西渡街道社区卫生服务中心社区收治的200例农村脑卒中患者作为对照组。对照组实施常规社区治疗与随访,观察组实施家庭医生团队管理模式。结果:干预前,两组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平比较,差异无统计学意义(P>0.05);干预后,观察组TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。结论:家庭医生团队管理模式可改善农村脑卒中患者血脂水平,值得应用并予以推广。

Objective:To explore the influence of family doctor team management on blood lipid levels of stroke patients in rural areas.Methods:A total of 242 stroke patients who signed a family doctor service contract in Shanghai Fengxian District Xidu Street Community Health Service Center from October 2018 to July 2020 were selected as the observation group,and 200 stroke patients from rural areas treated in Shanghai Fengxian District Xidu Street Community Health Service Center from October 2017to September 2018 were selected as the control group.Control group implemented conventional community treatment and followup,and observation group implemented family doctor team management mode.Results:There were no significant differences in the levels of total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C) between the two groups before intervention(P>0.05).After intervention,the levels of TC,TG and LDL-C in the observation group were lower than those in the control group,and the level of HDL-C in the observation group was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion:Family doctor team management can improve the blood lipid levels of stroke patients in rural areas,which is worthy of application and promotion.