CAJ | 학술논문

目的通过对社区老年人群的听力筛查和动态监测模式的研究,探讨信息网络时代新的疾病和健康管理模式.方法通过医学信息系统的扩展功能建立医院和社区互联网络,实现一体化双系统的管理模式,建立听力学工作站,对14个社区的420位老年人进行体格检查和每3个月一次的纯音听阈和中耳功能检查,观察听力以及相关体征的变化.结果该监测模式实现了医院和社区之间的资源共享,为全部的老年人建立了健康档案,每次听力筛查仅用时半个工作日.1年之内共发现14例听力不同程度下降的老人,伴有糖尿病、高血压等疾病的老人其听力损失的比例要高于无伴随疾病的老人,差异具有统计学意义(P值均＜0.01).结论医学信息系统下的疾病管理模式方便快捷,既提高了工作效率又保障了医疗的质量,值得推广及完善.
목적 통과대사구노년인군적은력사사화동태감측모식적연구,탐토신식망락시대신적질병화건강관리모식.방법 통과의학신식계통적확전공능건립의원화사구호련망락,실현일체화쌍계통적관리모식,건립은역학공작참,대14개사구적420위노년인진행체격검사화매3개월일차적순음은역화중이공능검사,관찰은력이급상관체정적변화.결과 해감측모식실현료의원화사구지간적자원공향,위전부적노년인건립료건강당안,매차은력사사부용시반개공작일.1년지내공발현14례은력불동정도하강적노인,반유당뇨병、고혈압등질병적노인기은력손실적비례요고우무반수질병적노인,차이구유통계학의의(P치균＜0.01).결론 의학신식계통하적질병관리모식방편쾌첩,기제고료공작효솔우보장료의료적질량,치득추엄급완선.
Objective To study the oldly people's hearing screening and dynamic monitoring mode,and to discuss the new diseases and health management mode in current information network era.Methods To establish the network connection between the hospital and the communities in the internet through the function expansion of the Hospital Information Systems and to realize " dual systems,double platforms"integrated management modes and establish the audiology workstation.The routine physical examination,pure tone hearing threshold tests and middle ear analysis were performed on four hundred and twenty elderly people from the fourteen communities every three months,and the changes of hearing and related symptoms were observed.Results Resources sharing was established between the hospital and these fourteen communities.Health records were established for all the aged people,the hearing screening lasted only half a day each time.Fourteen hearing loss cases were found during one year.A statistically significant difference (P ＜ O.O1) were found,the ratio of hearing loss with diabetes,high blood pressure and other diseases were much higher than people without concomitant.Conclusion The advantage of disease management mode under the Hospital Information System is convenient,the work efficiency and qualities are improved,which is worthy of popularizing.