摘要
目的:探究分级管理模式构建在社区慢性病患者健康管理中的应用。方法:以本管辖社区内分级管理模式实施时间为界线,将实施前(2019-01-01~06-16)于我院所属社区进行健康管理的205例慢性病患者纳入对照组,将实施后(2019-06-17~12-31)入组的205例患者纳入观察组。比较两组患者干预前、干预6个月后的心理状态、自护能力、生活质量变化。结果:干预6个月后,两组患者SCL-90量表总分及SCSQ量表中消极应对评分均较干预前显著降低(P<0.05),且观察组明显低于对照组(P<0.05);而SCSQ量表中积极应对评分均较干预前显著提升,且观察组明显高于对照组(P<0.05);干预6个月后,两组患者ESCA量表(护理技能、健康知识水平、自护责任感、自我概念)各项评分均较干预前显著提升,且观察组明显高于同期对照组(P<0.05);干预6个月后,两组患者GQOL-74量表(躯体功能、心理功能、社会功能、物质生活状态)评分均较干预前显著上升,且观察组明显高于对照组(P<0.05)。结论:分级管理模式的构建可明显提高社区慢性病患者的心理状态,提升其生活质量及自护能力。
Objective:To explore the application of hierarchical management model construction in the health management of community patients with chronic diseases.Methods:Taking the implementation time of hierarchical management model in the community under the jurisdiction as the boundary,205 cases of patients with chronic diseases who underwent health management in the community of our hospital before implementation were included in controls group,and 205 patients enrolled after implementation were included in observation group.The symptom check list-90(SCL-90),simple coping style questionnaire(SCSQ),exercise of self-care agency(ESCA)and generic quality of life inventory-74(GQOL-74)were compared between the two groups before intervention and after 6 months of intervention.Results:After 6 months of intervention,the total scores of SCL-90 scale and negative response scores of SCSQ scale in the two groups were significantly lower than those before intervention(P<0.05),and the scores in observation group were significantly lower than those in control group(P<0.05).The positive response scores of SCSQ scale were significantly higher than those before intervention(P<0.05),and the score in observation group was significantly higher than that in control group(P<0.05).After 6 months of intervention,the scores of items of ESCA scale(nursing skills,health knowledge level,self-care responsibility,self-concept)in the two groups were significantly improved compared with those before intervention(P<0.05),and the scores in observation group were significantly higher than those in control group at the same period(P<0.05).After 6 months of intervention,the scores of items of GQOL-74 scale(body function,psychological function,social function,material life status)in the two groups were significantly higher than those before intervention(P<0.05),and the scores in observation group were significantly higher than those in control group(P<0.05).Conclusion:The construction of hierarchical management model can obviously improve the psychological status,and enhance the quality of life and self-care ability of community patients with chronic diseases.
作者
郭爽
王振国
GUO Shuang;WANG Zhenguo(Department of Gastroenterology Surgery,the Second Hospital of Tianjin Medical University,Tianjin 300211,China;Medical Research Department of Affiliated Hospital of Armed Police Logistics College)
出处
《西北国防医学杂志》
CAS
2021年第7期690-695,共6页
Medical Journal of National Defending Forces in Northwest China
基金
天津市科技计划项目(16ZXHLSY00120)。
关键词
慢性病
生活质量
分级管理
自护能力
chronic diseases
quality of life
hierarchical management
self-care ability
作者简介
郭爽(1987—),女,护师,E-mail:liq_doc@163.com。
