CAJ | 학술논문

目的探讨系统化管理对城市社区空巢老人健康状况的影响.方法从枣庄市光明路和硌塔埠办事处所管辖的城市社区居民中,选取经整群抽样方式建档的60岁及以上空巢老人572例纳入研究,其中有效553例,研究组278例、对照组275例.研究组给予系统化健康管理,主要为定期随访和健康教育,干预时间为2006年7月-2008年7月;对照组不予管理.干预前后分别予自测健康评定量表(SRHMS)、症状自评量表(SCL-90)、健康管理评价表等评定管理效果.结果经过两年的系统化管理后,研究组生理健康、心理健康、社会健康各因子及总分值与对照组比较,差异均有统计学意义(P＜0.05);研究组抑郁、焦虑、躯体化、人际关系、敌对、恐怖、偏执、其他(睡眠和饮食)等各因子分及总均分与对照组比较,差异均有统计学意义(P＜0.05).在预防保健知识的知晓、慢性病控制、危险因素控制、保持良好心态、正确用药、坚持适当运动等方面,研究组均优于对照组,差异均有统计学意义(P＜0.05).结论系统化管理对改善城市社区空巢老人的健康状况有显著效果,是一套科学有效的全科医学干预模式,心理干预尤为重要.
목적 탐토계통화관리대성시사구공소노인건강상황적영향.방법 종조장시광명로화락탑부판사처소관할적성시사구거민중,선취경정군추양방식건당적60세급이상공소노인572례납입연구,기중유효553례,연구조278례、대조조275례.연구조급여계통화건강관리,주요위정기수방화건강교육,간예시간위2006년7월-2008년7월;대조조불여관리.간예전후분별여자측건강평정량표(SRHMS)、증상자평량표(SCL-90)、건강관리평개표등평정관리효과.결과 경과량년적계통화관리후,연구조생리건강、심리건강、사회건강각인자급총분치여대조조비교,차이균유통계학의의(P＜0.05);연구조억욱、초필、구체화、인제관계、활대、공포、편집、기타(수면화음식)등각인자분급총균분여대조조비교,차이균유통계학의의(P＜0.05).재예방보건지식적지효、만성병공제、위험인소공제、보지량호심태、정학용약、견지괄당운동등방면,연구조균우우대조조,차이균유통계학의의(P＜0.05).결론 계통화관리대개선성시사구공소노인적건강상황유현저효과,시일투과학유효적전과의학간예모식,심리간예우위중요.
Objective To investigate the efficacy of systematic management on the health status of the empty-nest elderly people lived in urban area.Methods Totally 572 empty-nest elders over 60 years old were selected by cluster sampling from the urban residents of Guangming and Getabu communities of Zaozhuang city.The 553 eligible subjects were randomly divided as trial group (n=278) and control group (n=275).The subjects in the trial group were give systematic management including mainly regular follow-up and health education.The duration of intervention was from July 2006 to July 2008.No management was given for those in the control group.SRHMS,SCL-90,and Health Evaluation Form were respectively applied before and after intervention to assess the results.Results After two years systematic management,compared with the control group,the total and factorial scores of physiological,psychological and social health in the trial group showed significant differences (P＜0.05);and so did the total and factorial scores of depression,anxiety,somatization,interpersonal relationship,hostility,affright,paranoid and others (sleep and diet) (P＜0.05).And the subjects in the trial group were better than in the control group in knowledge of prevention awareness,chronic disease control,risk factor control,maintenance of kelter,correct medication,adherence to proper exercise (P＜0.05).Conclusion The Systematic health management is effective in improvement of the health status of elderly empty-nest people lived in urban communities,it is a general scientific and effective mode of medical intervention,psychological intervention is particularly important.