城中村贫困慢性病患者社会资源利用现状及对策——以成都市某区为例

Current situation of social resources utilization and countermeasures of poor patients with chronic diseases in urban villages——a case study of a district in Chengdu

[目的]调查城中村贫困慢性病患者的社会资源利用和生活质量现状,分析其影响因素并提出对策,为推进健康扶贫工作、改善贫困患者的生活质量提供参考。[方法]采用一般资料问卷、慢性病社会资源利用问卷(CIRS)和生活质量简表(SF-12v2),从成都市某区的4个城中村街道中随机整群抽取2个街道的贫困慢性病患者展开调查。[结果]城中村贫困慢性病患者社会资源利用平均总得分为(51.56±7.91)分,资源利用不理想的占71.8%,精神健康得分为(45.09±6.55)分,躯体健康得分为(36.23±6.03)分;社会资源利用总分与精神健康(r=0.386,P<0.001)和躯体健康(r=0.245,P<0.05)均呈正相关关系;发生了住院治疗(t=5.177,P<0.001)、医护人员健康宣教(t=3.887,P<0.001)、文化程度(t=3.130,P<0.05)和年龄(t=-2.007,P<0.05)是贫困慢性病患者社会资源利用的主要影响因素。[结论]城中村贫困慢性病患者对社会资源利用不理想,生活质量差,社会资源与生活质量呈正相关,需发挥社区医护人员作用,对贫困患者实行健康精准管理,转变救助资源宣传方式,专人负责患者的资源整合,以改善贫困患者生活质量,实现健康脱贫。

Objective To investigate the status quo of social resource utilization and quality of life of poor patients with chronic diseases in urban villages,analyze its influencing factors and put forward countermeasures,so as to provide a basis for promoting health program for poverty alleviation and improving the quality of life of poor patients.Methods Poor patients with chronic diseases in two streets were randomly selected from four urban villages in a district of Chengdu to investigate by using the general data questionnaire,the Chronic Illness Resource Survey(CIRS)and 12-item Short Form Health Survey Version(SF-12v2).Results The score of social resource utilization of poor patients with chronic disease in urban villages was(51.56±7.91),among which poor resource utilization accounted for 71.8%.The score of mental health was(45.09±6.55),and the score of physical health was(36.23±6.03).The total score of social resource utilization was positively correlated with mental health(r=0.386,P<0.001)and physical health(r=0.245,P<0.05).Hospitalization(t=5.177,P<0.001),health education of medical staff(t=3.887,P<0.001),education level(t=3.130,P<0.05)and age(t=-2.007,P<0.05)were the main influencing factors of social resource utilization in poor patients with chronic diseases.Conclusions Poor patients with chronic diseases in urban villages have poor utilization of social resources and poor quality of life.Social resources are positively correlated with quality of life.It is necessary to give full play to the role of medical staff in the community,implement precise health management for poor patients,change the way of publicity of aid resources,and assign special personnel to be responsible for the integration of resources of patients,so as to improve the quality of life of poor patients and achieve poverty alleviation through health program.