本文選題：冠心病　切入點(diǎn)：醫(yī)養(yǎng)結(jié)合模式　出處：《中國(guó)全科醫(yī)學(xué)》2017年26期

【摘要】：目的探討分級(jí)診療背景下醫(yī)養(yǎng)結(jié)合健康管理模式對(duì)社區(qū)老年冠心病患者自我管理能力及生活質(zhì)量的影響。方法選取2013年3月—2015年5月在南方醫(yī)科大學(xué)南方醫(yī)院進(jìn)行治療的80例老年冠心病患者為研究對(duì)象,采用隨機(jī)數(shù)字表法將其分為對(duì)照組和研究組,各40例。對(duì)照組給予常規(guī)健康管理方法,研究組在給予常規(guī)健康管理模式下,使用醫(yī)養(yǎng)結(jié)合健康管理模式進(jìn)行干預(yù)。分別于干預(yù)前及干預(yù)半年后,對(duì)兩組患者自我管理能力以及生活質(zhì)量進(jìn)行評(píng)分,檢測(cè)患者心功能主要指標(biāo)左心室舒張末期內(nèi)徑(LVEDd)、每搏輸出量(SV)、射血分?jǐn)?shù)(EF),并調(diào)查兩組患者干預(yù)后的滿意度。結(jié)果干預(yù)后,研究組急救管理、生活管理、飲食管理、服藥管理、不良嗜好管理、運(yùn)動(dòng)管理、情緒認(rèn)知管理評(píng)分均高于對(duì)照組(P0.05);研究組生理功能、生理職能、軀體疼痛、總體健康、精力、社會(huì)職能、情感職能、精神健康評(píng)分均高于對(duì)照組(P0.05)。干預(yù)后,研究組LVEDd低于對(duì)照組,SV、EF高于對(duì)照組(P0.05)。兩組滿意度比較,差異有統(tǒng)計(jì)學(xué)意義(Z=6.23,P=0.01)。結(jié)論分級(jí)診療背景下醫(yī)養(yǎng)結(jié)合健康管理模式能有效提高社區(qū)老年冠心病患者的自我管理能力以及生活質(zhì)量,且患者滿意度高,值得推廣使用。
[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.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院健康管理科;南方醫(yī)科大學(xué)南方醫(yī)院門急診片區(qū);
【基金】：廣東省科技計(jì)劃項(xiàng)目(2016A070712005)——社區(qū)老人亞健康科普教育 廣州市科技計(jì)劃項(xiàng)目(201605161017135)——老年人亞健康教育社區(qū)行專題科普活動(dòng)的階段性研究成果
【分類號(hào)】：R541.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 方芳;吳e，

本文編號(hào)：1709360