【摘要】：目的構(gòu)建醫(yī)院-社區(qū)協(xié)同健康管理模式,并探討其對(duì)提高社區(qū)腦卒中高危人群腦卒中防治知識(shí)、健康行為水平的作用。方法 2016年3月—2017年3月,采用便利抽樣法,對(duì)石家莊市某社區(qū)40歲的常住居民1 196例進(jìn)行基線調(diào)查,以篩選出的腦卒中高危人群186例為研究對(duì)象。按照隨機(jī)數(shù)字表法將受試者分為干預(yù)組和對(duì)照組,各93例。對(duì)照組僅接受常規(guī)健康教育;干預(yù)組在常規(guī)健康教育的基礎(chǔ)上實(shí)施醫(yī)院-社區(qū)協(xié)同健康管理的新模式,包括構(gòu)建兩級(jí)多學(xué)科健康管理團(tuán)隊(duì)、日常健康風(fēng)險(xiǎn)評(píng)估、建立電子信息化健康檔案、動(dòng)態(tài)隨訪和個(gè)體化干預(yù)、微信平臺(tái)健康宣教及"菜單式"主題沙龍講座。于干預(yù)12個(gè)月后,采用腦卒中防治知識(shí)調(diào)查問卷、健康促進(jìn)生活方式量表評(píng)價(jià)腦卒中相關(guān)知識(shí)、健康行為相關(guān)水平。結(jié)果干預(yù)組受試者腦卒中防治知識(shí)調(diào)查問卷危險(xiǎn)因素認(rèn)知、預(yù)防知識(shí)認(rèn)知、早期癥狀認(rèn)知、突發(fā)處理認(rèn)知維度得分及總分均高于對(duì)照組,健康促進(jìn)生活方式量表健康責(zé)任、運(yùn)動(dòng)鍛煉、營(yíng)養(yǎng)、壓力應(yīng)對(duì)、人際關(guān)系、自我實(shí)現(xiàn)分量表得分均高于對(duì)照組(P0.05)。結(jié)論醫(yī)院-社區(qū)協(xié)同健康管理模式有利于提高腦卒中高危人群的腦卒中防治知識(shí)及健康行為水平,值得借鑒推廣。
[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.
【作者單位】： 河北醫(yī)科大學(xué)第二醫(yī)院腦卒中高危篩查與防治基地辦公室;河北醫(yī)科大學(xué)第二醫(yī)院醫(yī)務(wù)處;河北省石家莊市苑東社區(qū)衛(wèi)生服務(wù)中心;
【分類號(hào)】：R743.3

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