CAJ | 학술논문

目的对家庭保健员计划实施的效果进行评价.方法按入选标准在北京市城八区入选1万名左右的家庭保健员,限一户一人,对其进行慢性病防治知识的培训和管理,再由其担负起对其他家庭成员健康教育、生活指导以及医患互动联络的作用,半年后评价家庭保健员及其家庭成员慢性病防治知识和技能的改善情况.结果共6 137个家庭参与了干预前后的问卷调查,其中资料完整者11 192人(4 723名为家庭保健员),平均年龄(53.2±15.8)岁,男4 980人,占44.5%.干预后,慢性病防治总得分从66.2分增加到85.5分,增加了19.4分."行为危险因素防治知识"得分增幅最大,从61.8分增加到了85.2分,增加了23.3分.单因素分析显示,文化程度较低、家庭成年人口少、中老年人群的得分增长幅度最大;多因素分析显示,基线得分低、家庭成年人口较多、青壮年人群的干预效果更好.结论北京市家庭保健员计划项目效果显著,针对基线慢性病防治知识得分低的人群效果更佳;如果没有条件开展基线调查,可以文化程度较低的家庭作为工作重点.
목적 대가정보건원계화실시적효과진행평개.방법 안입선표준재북경시성팔구입선1만명좌우적가정보건원,한일호일인,대기진행만성병방치지식적배훈화관리,재유기담부기대기타가정성원건강교육、생활지도이급의환호동련락적작용,반년후평개가정보건원급기가정성원만성병방치지식화기능적개선정황.결과 공6 137개가정삼여료간예전후적문권조사,기중자료완정자11 192인(4 723명위가정보건원),평균년령(53.2±15.8)세,남4 980인,점44.5%.간예후,만성병방치총득분종66.2분증가도85.5분,증가료19.4분."행위위험인소방치지식"득분증폭최대,종61.8분증가도료85.2분,증가료23.3분.단인소분석현시,문화정도교저、가정성년인구소、중노년인군적득분증장폭도최대;다인소분석현시,기선득분저、가정성년인구교다、청장년인군적간예효과경호.결론 북경시가정보건원계화항목효과현저,침대기선만성병방치지식득분저적인군효과경가;여과몰유조건개전기선조사,가이문화정도교저적가정작위공작중점.
Objective To evaluate the effectiveness of Family Health Keeper (FHK) project.Methods About 10 thousands of FHKs who met given inclusive standard were enrolled,each for one family,trained with the knowledge and skills of Non-communicable disease (NCD) prevention and control,and took responsibility of health education and life style instruction to their family members and kept connection with their community health workers.The scores of NCD prevention and control,gained by the FHKs and their family members before and after the project,were used as analysis index of effectiveness.Results Totally 6 137 families participated the questionnaire investigation.Valid data of 11 192 individuals (including 4 723 FHKs) were used in this analysis,with an averaged age of (53.2±15.8) years and 44.5% (4 980) of the individuals being male.Half a year later,the total score rose 19.4 (from 66.2 to 85.5).The knowledge score on behavior risk control rose most,being 23.3 (from 61.8 to 85.2). Single factor analysis showed that FHK project had better effectiveness on middle-elderly aged population with lower level of education and less adult family members.Multivariate the analysis released that young-middle aged population with less baseline score and more adult family members had better effectiveness.Conclusion The Beijing FHK project did have significant effectiveness on improving the knowledge of NCD prevention.For much larger achievement,more effort should be done to the population with lower baseline score.If baseline investigation is not available,effort could be simply focused on people with lower level of education.