摘要
目的评价对肢体残疾人进行家庭医生签约服务后的康复管理效果。方法选取2016年6月至2018年6月,上海市金山工业区社区卫生服务中心辖区肢体残疾人群为研究对象,随机分成观察组和对照组,每组198名,采用自身对照干预研究方法,分析比较社区肢体残疾人群接受家庭医生签约服务前后就诊次数、就诊费用、健康档案数据及体检数据的变化。结果干预后,观察组BMI (t=6.76,P<0.05);总胆固醇(t=2.22,P<0.05);低密度脂蛋白胆固醇(t=4.33,P<0.05);血压达标情况(χ~2=33.88,P<0.05);年就诊次数(χ~2=567.63,P<0.05)及年人均诊疗费用(χ~2=81.34,P<0.05)较干预前下降,差异均有统计学意义。干预后,观察组与对照组在BMI (t=6.829,P<0.05);血压达标(χ~2=15.046,P<0.05);年就诊次数(χ~2=16.403,P<0.05);年人均诊疗费用(t=92.757,P<0.05);低密度脂蛋白胆固醇(t=3.931,P<0.05)差异有统计学意义。结论家庭医生签约服务后,有效提高了肢体残疾人的生活质量,改善机体功能,有效解决由于文化水平低引起的不良健康行为、生活习惯方式和健康理念的问题,增强健康自我管理意识。
Objective To assess the impact of family physician intervention on the rehabilitation of physically disabled individuals in Jinshan Industrial zone of Shanghai. Methods Physically disabled individuals in the community were enrolled into the study from June 2016 to June 2018 and randomly divided into observation group（n=198）and control group（n=198）.The effects of family physician services on the rehabilitation were evaluated and compared between the two group. Results After two years of intervention by the family doctors,the differences of BMI（t=6.76,P〈0.05）,TC（t=2.22,P〈0.05）,LDL-C（t=4.33,P〈0.05）,blood pressure（χ^2=33.88,P〈0.05）,the number of annual visit（χ^2=567.63,P〈0.05）and the annual per capita cost of diagnosis and treatment（t=81.34,P〈0.05）were all statistically significant.After the intervention,the differences of BMI（t=6.829,P〈0.05）,blood pressure（χ^2=15.046,P〈0.05）,annual visit number（χ^2=16.403,P〈0.05）,annual cost of diagnosis and treatment（t=92.757,P〈0.05）as well as LDL（t=3.931,P〈0.05）were all significant between subjects in two groups. Conclusions With the intervention of family physicians,the life quality and body mobility of physically disabled individuals can be greatly improved partly due to the change of their poor health behaviors,lifestyles,health concepts and the enhancement of their self-management for their own health.
作者
吴菁
杨旦红
陈磊
胡小玲
彭艳秋
WU Jing;YANG Dan-hong;CHEN Lei;HU Xiao-ling;PENG Yan-qiu(The Community Health Service Center in Jinshan Industrial Zone of Shanghai,Shanghai 201506,China)
出处
《中国预防医学杂志》
CAS
CSCD
2018年第10期761-764,共4页
Chinese Preventive Medicine
基金
上海市金山区医药卫生类科技创新资金项目(2016-3-19)
关键词
肢体残疾人
家庭医生
社区卫生服务
康复管理
影响评估
Physically disabled individual
Family physician
Community health service
Rehabilitation man-agement
Impact assessment
