医院-社区协同健康管理模式在脑卒中高危人群中的干预效果研究
发布时间：2018-09-03 06:11
【摘要】：目的构建医院-社区协同健康管理模式,并探讨其对提高社区脑卒中高危人群脑卒中防治知识、健康行为水平的作用。方法 2016年3月—2017年3月,采用便利抽样法,对石家庄市某社区40岁的常住居民1 196例进行基线调查,以筛选出的脑卒中高危人群186例为研究对象。按照随机数字表法将受试者分为干预组和对照组,各93例。对照组仅接受常规健康教育;干预组在常规健康教育的基础上实施医院-社区协同健康管理的新模式,包括构建两级多学科健康管理团队、日常健康风险评估、建立电子信息化健康档案、动态随访和个体化干预、微信平台健康宣教及"菜单式"主题沙龙讲座。于干预12个月后,采用脑卒中防治知识调查问卷、健康促进生活方式量表评价脑卒中相关知识、健康行为相关水平。结果干预组受试者脑卒中防治知识调查问卷危险因素认知、预防知识认知、早期症状认知、突发处理认知维度得分及总分均高于对照组,健康促进生活方式量表健康责任、运动锻炼、营养、压力应对、人际关系、自我实现分量表得分均高于对照组(P0.05)。结论医院-社区协同健康管理模式有利于提高脑卒中高危人群的脑卒中防治知识及健康行为水平,值得借鉴推广。
[Abstract]:Objective to establish a hospital community cooperative health management model and to explore its role in improving the knowledge of stroke prevention and treatment and the level of health behavior in the high risk population of stroke in the community. Methods from March 2016 to March 2017, 1 196 residents aged 40 years old in a community in Shijiazhuang City were investigated by a convenient sampling method. 186 cases of high-risk population with stroke were selected as the research objects. The subjects were divided into intervention group (n = 93) and control group (n = 93). The control group only received routine health education, the intervention group implemented a new model of hospital community cooperative health management on the basis of routine health education, including the construction of two levels of multidisciplinary health management team, daily health risk assessment. Establish electronic information health files, dynamic follow-up and individual intervention, WeChat platform health education and "menu" topic salon lecture. After 12 months of intervention, stroke related knowledge and health behavior were evaluated with the Health Promotion lifestyle scale (HPLL). Results the scores of risk factor cognition, preventive knowledge cognition, early symptom cognition, cognitive dimension and total score of sudden treatment in the intervention group were higher than those in the control group, and the health promotion lifestyle scale health responsibility was higher in the intervention group than in the control group. The scores of exercise, nutrition, stress coping, interpersonal relationship and self-actualization were higher than those of the control group (P0.05). Conclusion the hospital community cooperative health management model is helpful to improve the knowledge of stroke prevention and treatment and the level of health behavior in the high risk population of stroke, and it is worth learning and popularizing.
【作者单位】： 河北医科大学第二医院脑卒中高危筛查与防治基地办公室;河北医科大学第二医院医务处;河北省石家庄市苑东社区卫生服务中心;
【分类号】：R743.3
本文编号：2219111
[Abstract]:Objective to establish a hospital community cooperative health management model and to explore its role in improving the knowledge of stroke prevention and treatment and the level of health behavior in the high risk population of stroke in the community. Methods from March 2016 to March 2017, 1 196 residents aged 40 years old in a community in Shijiazhuang City were investigated by a convenient sampling method. 186 cases of high-risk population with stroke were selected as the research objects. The subjects were divided into intervention group (n = 93) and control group (n = 93). The control group only received routine health education, the intervention group implemented a new model of hospital community cooperative health management on the basis of routine health education, including the construction of two levels of multidisciplinary health management team, daily health risk assessment. Establish electronic information health files, dynamic follow-up and individual intervention, WeChat platform health education and "menu" topic salon lecture. After 12 months of intervention, stroke related knowledge and health behavior were evaluated with the Health Promotion lifestyle scale (HPLL). Results the scores of risk factor cognition, preventive knowledge cognition, early symptom cognition, cognitive dimension and total score of sudden treatment in the intervention group were higher than those in the control group, and the health promotion lifestyle scale health responsibility was higher in the intervention group than in the control group. The scores of exercise, nutrition, stress coping, interpersonal relationship and self-actualization were higher than those of the control group (P0.05). Conclusion the hospital community cooperative health management model is helpful to improve the knowledge of stroke prevention and treatment and the level of health behavior in the high risk population of stroke, and it is worth learning and popularizing.
【作者单位】： 河北医科大学第二医院脑卒中高危筛查与防治基地办公室;河北医科大学第二医院医务处;河北省石家庄市苑东社区卫生服务中心;
【分类号】：R743.3
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