家庭医生式服务在老年人慢性病健康管理中的应用效果评价

Evaluation of the application effect of family doctor service in the health management of chronic diseases in the elderly

目的探讨家庭医生式服务在老年人慢性病健康管理中的应用效果。方法选择中山火炬高技术产业开发区社区500例老年慢性病患者作为研究对象,按患者意愿参与家庭医生式服务与否将其分为研究组与对照组,每组250例,服务1年后比较两组的中医体质辨识服务率、慢病知识知晓情况、自我控制行为、血压、血糖控制情况及满意度调查。结果研究组的中医体质辨识服务率(83.60%)及满意率(95.20%)均明显高于对照组(52.40%、84.80%),差异有统计学意义(P<0.05)。研究组的慢病知识得分(82.14±7.31)分显著高于对照组(71.27±8.05)分,差异有统计学意义(t=15.805,P<0.05)。研究组自我控制行为均明显优于对照组,差异有统计学意义(P<0.05)。研究组的血压、血糖控制率均明显高于对照组(P<0.05)。结论家庭医生式服务有利于促进社区老年人慢性病健康管理工作规范化,提高健康管理成效。

Objective To evaluate the application effect of family doctor service in the health management of chronic diseases in the elderly. Methods A total of 50 cases elderly patients with chronic diseases of Torch High Tech Industrial Development Zone Community in Zhongshan City were collected,and they were divided into research group and control group with 250 cases separately according to the wishes of the patients to participate in the family doctor service or not. TCM Constitution identification service rate,chronic disease knowledge awareness,self control behavior,blood pressure,blood sugar control situation and satisfaction survey of the two groups after 1 years were compared. Results TCM Constitution identification service rate and satisfaction rate of the research group were significantly higher than those of the control group(83.60%,95.20%,all P<0.05). Chronic disease knowledge scores and self control behavior of the research group were significantly better than those of the control group(P<0.05),and blood pressure and blood glucose control rate were significantly higher than those of the control group(P<0.05).Conclusions Family doctor service is conducive to promote the standardization of health management of the elderly in the community and improving the effectiveness of health management.