中国医疗前沿
中國醫療前沿
중국의료전연
CHINA HEALTHCARE INNOVATION
2013年
3期
1-2
,共2页
李锦%王引利%唐炯%余秀琼%吴镜%唐超%巫文丽%戴玫%蒋晖%刘汉雄%蔡琳
李錦%王引利%唐炯%餘秀瓊%吳鏡%唐超%巫文麗%戴玫%蔣暉%劉漢雄%蔡琳
리금%왕인리%당형%여수경%오경%당초%무문려%대매%장휘%류한웅%채림
心力衰竭%社区%疾病管理
心力衰竭%社區%疾病管理
심력쇠갈%사구%질병관리
Heart failure%Community%The disease management
目的调查分析成都地区社区心力衰竭患者对疾病管理的需求现状,以便提出更为行之有效的心力衰竭患者干预模式.方法2010年7-12月,以成都市青羊区苏坡社区和周边新都区城东社区两个区域作为调查基地,采用整群抽样方法对其中12个自然居民小区153例New York心功能分级Ⅱ-Ⅳ级心力衰竭患者通过问卷调查方式进行横断面调查.同期对该两个区域的社区医院医生22人进行心力衰竭疾病管理问卷调查.结果社区心力衰竭患者86.27%愿意采纳亲朋好友的建议,有22.22%的患者选择听从专业人员意见.约1/3患者愿意花钱请专业人员协助疾病管理,约1/3患者愿意接受免费服务.90.19%患者选择社区医务人员或专科医生对自己疾病进行管理.37.91%患者选择电话随访,23.53%患者选择面对面服务.46.41%患者选择1月随访1次.患者关注的疾病管理知识方面:43.40%的患者关注病因,24.83%的患者关注治疗,28.10%患者关注药物治疗,仅18.30%患者关注日常生活注意事项.社区医生90.91%希望采用电话随访来管理患者,68.18%的社区医生选择1月随访1次.社区医生约90%以上选择病因及药物、治疗,31.82%选择关注日常生活注意事项.结论目前成都地区社区心力衰竭患者的疾病管理协助治疗的需求不高,针对其进行干预,将有助于提高患者治疗依从性与疾病管理效果.
目的調查分析成都地區社區心力衰竭患者對疾病管理的需求現狀,以便提齣更為行之有效的心力衰竭患者榦預模式.方法2010年7-12月,以成都市青羊區囌坡社區和週邊新都區城東社區兩箇區域作為調查基地,採用整群抽樣方法對其中12箇自然居民小區153例New York心功能分級Ⅱ-Ⅳ級心力衰竭患者通過問捲調查方式進行橫斷麵調查.同期對該兩箇區域的社區醫院醫生22人進行心力衰竭疾病管理問捲調查.結果社區心力衰竭患者86.27%願意採納親朋好友的建議,有22.22%的患者選擇聽從專業人員意見.約1/3患者願意花錢請專業人員協助疾病管理,約1/3患者願意接受免費服務.90.19%患者選擇社區醫務人員或專科醫生對自己疾病進行管理.37.91%患者選擇電話隨訪,23.53%患者選擇麵對麵服務.46.41%患者選擇1月隨訪1次.患者關註的疾病管理知識方麵:43.40%的患者關註病因,24.83%的患者關註治療,28.10%患者關註藥物治療,僅18.30%患者關註日常生活註意事項.社區醫生90.91%希望採用電話隨訪來管理患者,68.18%的社區醫生選擇1月隨訪1次.社區醫生約90%以上選擇病因及藥物、治療,31.82%選擇關註日常生活註意事項.結論目前成都地區社區心力衰竭患者的疾病管理協助治療的需求不高,針對其進行榦預,將有助于提高患者治療依從性與疾病管理效果.
목적조사분석성도지구사구심력쇠갈환자대질병관리적수구현상,이편제출경위행지유효적심력쇠갈환자간예모식.방법2010년7-12월,이성도시청양구소파사구화주변신도구성동사구량개구역작위조사기지,채용정군추양방법대기중12개자연거민소구153례New York심공능분급Ⅱ-Ⅳ급심력쇠갈환자통과문권조사방식진행횡단면조사.동기대해량개구역적사구의원의생22인진행심력쇠갈질병관리문권조사.결과사구심력쇠갈환자86.27%원의채납친붕호우적건의,유22.22%적환자선택은종전업인원의견.약1/3환자원의화전청전업인원협조질병관리,약1/3환자원의접수면비복무.90.19%환자선택사구의무인원혹전과의생대자기질병진행관리.37.91%환자선택전화수방,23.53%환자선택면대면복무.46.41%환자선택1월수방1차.환자관주적질병관리지식방면:43.40%적환자관주병인,24.83%적환자관주치료,28.10%환자관주약물치료,부18.30%환자관주일상생활주의사항.사구의생90.91%희망채용전화수방래관리환자,68.18%적사구의생선택1월수방1차.사구의생약90%이상선택병인급약물、치료,31.82%선택관주일상생활주의사항.결론목전성도지구사구심력쇠갈환자적질병관리협조치료적수구불고,침대기진행간예,장유조우제고환자치료의종성여질병관리효과.
Objective To investigate and analyze the disease management demand status of the community chronic heart failure patients in Chengdu, in order to the more effective intervention models for these patients. Methods Cluster sampling method was used to investigate the heart failure patients(New York Heart Function Ⅱ-Ⅳ) in two communities in Chengdu. All the patients(total 153 numbers) received questionnaire survey. Meanwhile, the doctors in community hospitals(total 22 numbers) received questionnaire survey. Results The patients were 86.27% willing to take relations and friends' advices and 22.22% accept doctors' advices. About 1/3 patients would like to pay for disease management, another 1/3 patients would prefer to free of charge. 90.19% patients chose the doctors in community hospitals or professional doctors for disease management, 37.91% opted telephone follow-up, and 23.53% chose face-to face service. 46.41% in them would prefer to follow-up one time in one month. The knowledge of heart disease that patients paid attention to were etiology(43.40%), treatment(24.83%),and drug(28.10%), yet only 18.30% patients cared for matters needing attention in daily life. Community doctors would like to follow-up one time in one month(68.18%) by telephone(90.91%). They cared about the knowledge of etiology, treatment and drug(above 90%), only 31.82%cared for matters needing attention in daily life. Conclusion Our survey showed a low level demand for the disease management of heart failure patients in Chengdu community, more intervention for these patients will increase the compliance of treatment and the effect of the disease management.
