健康管理短信对社区中老年慢性病患者行为改变、健康评价和满意度的影响

发布时间：2018-11-22 10:59

【摘要】：目的了解健康管理短信对社区中老年慢性病患者行为改变、健康评价和自我管理满意度的效果。方法采用澳大利亚专家设计、结合中国国情修改的美好生活俱乐部调查问卷,以随机整群抽样方法,对部分社区200名中老年人进行问卷调查,了解人口学资料、慢性病患病情况及老年人行为改变阶段评估、自我健康评价和自我管理满意度。结果经过健康管理短信干预后,被调查者的行为改变、自我管理满意度得分明显低于干预前,健康状况自评得分明显高于干预前(P0.01),功能状态和社会功能评价和自报症状得分差异不明显(P0.05)。结论健康管理短信能明显增强社区中老年慢性病患者自我管理意识,促进健康行为改变,提升自我健康评价和满意度。但由于经费限制、技术不足和评价标准不明确,有必要加强以政府经费为支持、以社区卫生服务为平台、以综合医院和专科医院为依托、以专家团队为指导的健康管理短信平台建设。
[Abstract]:Objective to investigate the effect of health management SMS on behavior change, health evaluation and self-management satisfaction of elderly patients with chronic diseases in community. Methods A questionnaire designed by an Australian expert was used to investigate the demographic data of 200 middle-aged and elderly people in some communities, based on the questionnaire of better Life Club, which was modified by China's national conditions, and the random cluster sampling method. Chronic disease and behavior change stage assessment, self-health evaluation and self-management satisfaction. Results after the intervention of health management SMS, the respondents' behavior change, self-management satisfaction score was significantly lower than that before intervention, and the self-assessment score of health status was significantly higher than that before intervention (P0.01). There was no significant difference in the scores of functional state and social function evaluation and self-reported symptoms (P0.05). Conclusion the short message of health management can obviously enhance the consciousness of self management, promote the change of health behavior, and improve the self health evaluation and satisfaction of the elderly patients with chronic diseases in the community. However, due to funding constraints, inadequate technology and unclear evaluation criteria, it is necessary to strengthen the support of government funds, community health services as a platform, and general hospitals and specialized hospitals as the basis. Construction of short message platform for health management guided by expert team.
【作者单位】：东南大学附属中大医院;
【基金】：江苏省科技创新与成果转化专项引导资金示范工程项目(No.BE2008617)
【分类号】：R592

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