CAJ | 학술논문

目的根据社康中心慢病管理的相关经验，对社康中心慢病管理的效果进行分析，并探讨其管理模式。方法对自愿参加社康中心慢病管理的350例高血压及糖尿病患者的病情情况进行分析，并总结相关经验。结果在参加慢病管理的350例患者中，3年死亡3例，目前在案347例。在案患者均保持良好的生活习惯。患者的生活习惯逐步科学化、合理化，盐、油的摄入量明显减少，能有规律地参加体育锻炼，血糖、血压等指标明显下降，并明显改善患者的药物依赖性。结论参加社康中心慢病管理可以有效降低患者的死亡率，而这依赖于良好的群众基础、社康中心慢病管理与防治网络及慢病管理的团队合作。
목적근거사강중심만병관리적상관경험，대사강중심만병관리적효과진행분석，병탐토기관리모식。방법대자원삼가사강중심만병관리적350례고혈압급당뇨병환자적병정정황진행분석，병총결상관경험。결과재삼가만병관리적350례환자중，3년사망3례，목전재안347례。재안환자균보지량호적생활습관。환자적생활습관축보과학화、합이화，염、유적섭입량명현감소，능유규률지삼가체육단련，혈당、혈압등지표명현하강，병명현개선환자적약물의뢰성。결론삼가사강중심만병관리가이유효강저환자적사망솔，이저의뢰우량호적군음기출、사강중심만병관리여방치망락급만병관리적단대합작。
Objective To analyze the result of chronic management and explore its management model, according to the experience of chronic management in Community Healthy Center. Methods To analyze the condition of 350 patients with hypertension and diabetes mel itus in Community Healthy Center and sum up experience. Results Among these 350 patients, 3 had died and 347 are stil under treatment. Those patients often hold good dietary convention. They cut down the consumption of oil and salt and do sport regularly. Their blood sugar and pressure are remarkably decreased and don't need to rely on medicine as before. Conclusion Chronic management does good to lower the mortality rate ef ectively. However, it relies on the good popular support and the net of prophylaxis and treatment of chronic management in Community Healthy Center and the teamwork of chronic management.