CAJ | 학술논문

目的了解家庭慢病的患病情况,提出家庭慢病的三级预防策略.方法选取62名参加全科医师岗位培训的学员,以其自己家庭为背景独自绘制家系图、填写家庭功能评估(APGAR)量表和统一印制的调查问卷.结果家庭常住人口为(3.6±3.0)人;51.61%的家庭有慢病患者,在有慢病患者的家庭中有2、3名患者的分别占37.50%、43.75%,有2、3种慢病者分别占53.12%、31.25%;78.13%认为慢病发生与不良的行为方式有关;仅24.24%慢病患者能严格按照医嘱治疗.结论家庭慢病患病率较高,患者遵医行为较差.改善慢病家庭成员的行为方式,将患者纳入规范管理,是家庭慢病三级预防的关键.
목적 료해가정만병적환병정황,제출가정만병적삼급예방책략.방법 선취62명삼가전과의사강위배훈적학원,이기자기가정위배경독자회제가계도、전사가정공능평고(APGAR)량표화통일인제적조사문권.결과 가정상주인구위(3.6±3.0)인;51.61%적가정유만병환자,재유만병환자적가정중유2、3명환자적분별점37.50%、43.75%,유2、3충만병자분별점53.12%、31.25%;78.13%인위만병발생여불량적행위방식유관;부24.24%만병환자능엄격안조의촉치료.결론 가정만병환병솔교고,환자준의행위교차.개선만병가정성원적행위방식,장환자납입규범관리,시가정만병삼급예방적관건.
Objective To understand the prevalence of chronic diseases in community families,to put forward a three leveled prevention measure of chronic diseases.Methods Sixty-two general practitioners participating in on-the-job training were asked to draw their own genealogical trees,to fill out APGAR rating scales and related questionnaires.Results The average permanent population in each family was (3.6±3.0) people.Some 51.61% of the families had patient with chronic disease,of which 37.50% had 2 patients and 43.75% had 3 patients;53.12% had 2 kinds of chronic diseases,and 31.25% had 3 kinds of chronic diseases.Some 78.13% of the patients thought that their chronic disease development was related to unhealthy behaviors;only 24.24% had treatments in strict accordance with doctors' medical orders.Conclusion Prevalence of chronic diseases is relatively high in community families,and patients have poor executions of doctors' orders.It is the key for the three-leveled prevention of chronic disease to improve the patients' behaviors and conduct standard management for the patients.