分级诊疗背景下社区老年冠心病患者医养结合健康管理模式研究

发布时间：2018-04-04 09:29

本文选题：冠心病　切入点：医养结合模式　出处：《中国全科医学》2017年26期

【摘要】：目的探讨分级诊疗背景下医养结合健康管理模式对社区老年冠心病患者自我管理能力及生活质量的影响。方法选取2013年3月—2015年5月在南方医科大学南方医院进行治疗的80例老年冠心病患者为研究对象,采用随机数字表法将其分为对照组和研究组,各40例。对照组给予常规健康管理方法,研究组在给予常规健康管理模式下,使用医养结合健康管理模式进行干预。分别于干预前及干预半年后,对两组患者自我管理能力以及生活质量进行评分,检测患者心功能主要指标左心室舒张末期内径(LVEDd)、每搏输出量(SV)、射血分数(EF),并调查两组患者干预后的满意度。结果干预后,研究组急救管理、生活管理、饮食管理、服药管理、不良嗜好管理、运动管理、情绪认知管理评分均高于对照组(P0.05);研究组生理功能、生理职能、躯体疼痛、总体健康、精力、社会职能、情感职能、精神健康评分均高于对照组(P0.05)。干预后,研究组LVEDd低于对照组,SV、EF高于对照组(P0.05)。两组满意度比较,差异有统计学意义(Z=6.23,P=0.01)。结论分级诊疗背景下医养结合健康管理模式能有效提高社区老年冠心病患者的自我管理能力以及生活质量,且患者满意度高,值得推广使用。
[Abstract]:Objective to explore the effect of medical and nursing combined with health management model on self-management ability and quality of life of elderly patients with coronary heart disease in community under the background of grading diagnosis and treatment.Methods from March 2013 to May 2015, 80 elderly patients with coronary heart disease were selected and divided into control group and study group with 40 cases each.The control group was given the routine health management method, the study group was given the routine health management mode, and the study group used the combination of medical care and health management mode to intervene.The self-management ability and quality of life of the two groups were evaluated before and six months after intervention.Results after intervention, the scores of emergency management, life management, diet management, medication management, bad hobby management, exercise management and emotional cognition management in the study group were higher than those in the control group (P 0.05), the physiological function, physiological function and somatic pain in the study group were higher than those in the control group.The scores of general health, energy, social function, emotional function and mental health were higher than that of control group (P 0.05).After intervention, the LVEDd of the study group was lower than that of the control group (P 0.05).There was significant difference in satisfaction between the two groups (P < 0.01).Conclusion in the background of graded diagnosis and treatment, the combination of medical and nursing combined with health management can effectively improve the self-management ability and quality of life of elderly patients with coronary heart disease in community, and the satisfaction of patients is high, which is worth popularizing.
【作者单位】：南方医科大学南方医院健康管理科;南方医科大学南方医院门急诊片区;
【基金】：广东省科技计划项目(2016A070712005)——社区老人亚健康科普教育广州市科技计划项目(201605161017135)——老年人亚健康教育社区行专题科普活动的阶段性研究成果
【分类号】：R541.4

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