CAJ | 학술논문

目的：探讨社区护理理论结合家庭医生责任制服务模式及服务对象设计实施适合家庭医生责任制服务的社区护理模式。方法选取2012年6月至2013年6月签约居民中选择符合入选条件的家庭作为研究对象，随机分为常规组和观察组，每组各100户。常规组按现有护理模式给予护理；观察组制定合理的社区护理模式并给予针对性的护理，针对开展存在问题不断进行整改。两组实施半年后进行相关问卷调查，统计分析两组家庭中的老年及慢病成员自我效能情况、儿童计划免疫接种率和体检管理率及家庭满意度。结果观察组老年及慢病成员自我效能评分较常规组有明显提高（P＜0．05），0～6岁儿童计划免疫接种率及0～3岁体检管理率优于常规组（P＜0．05）；满意度优于常规组（P＜0．05）。观察组在诊疗、健康教育信息及活动、自我效能感知及儿童体检方面满意度明显优于常规组（ P＜0．05）。结论社区护士通过这种护理模式将疾病预防、保健、健康教育、康复等健康促进的功能和对社区、家庭甚至社区整体的护理功能融合完善，从而更好地服务于社区居民。
목적：탐토사구호리이론결합가정의생책임제복무모식급복무대상설계실시괄합가정의생책임제복무적사구호리모식。방법선취2012년6월지2013년6월첨약거민중선택부합입선조건적가정작위연구대상，수궤분위상규조화관찰조，매조각100호。상규조안현유호리모식급여호리；관찰조제정합리적사구호리모식병급여침대성적호리，침대개전존재문제불단진행정개。량조실시반년후진행상관문권조사，통계분석량조가정중적노년급만병성원자아효능정황、인동계화면역접충솔화체검관리솔급가정만의도。결과관찰조노년급만병성원자아효능평분교상규조유명현제고（P＜0．05），0～6세인동계화면역접충솔급0～3세체검관리솔우우상규조（P＜0．05）；만의도우우상규조（P＜0．05）。관찰조재진료、건강교육신식급활동、자아효능감지급인동체검방면만의도명현우우상규조（ P＜0．05）。결론사구호사통과저충호리모식장질병예방、보건、건강교육、강복등건강촉진적공능화대사구、가정심지사구정체적호리공능융합완선，종이경호지복무우사구거민。
Objective To design and implement the community care mode, which suits for family doctor responsibility through community nursing theory with the family doctor service mode and service objects accountability.Methods The family complied with the provisions were selected as research subjects and divided into conventional and observation groups, 100 in each group.Family in convention-al group were given by existing models of care, in observation group were given community nursing care mode, and mode was rectified with the following problems.Six months later, associated questionnaires were collected, family members of the elderly and chronic disease self-ef-ficacy, the child immunization coverage rate, the rate of medical management and family satisfaction were compared.Results Self-efficacy score in observation group was significantly improved compared with that of conventional group, the difference was significant ( P<0.05 ) . 0-6 years old children inoculated rate ( 100.00%) and 0-3 years medical management rate ( 97.03%) were better in observation group than those of conventional group.Satisfaction rate was 83.0%in conventional group, was 96.0%in observation group, the observation group was better than that of conventional group (P<0.05) .Conclusions With this mode, nurse could connect health promotion functions such as disease prevention, health care, health education, rehabilitation and so on with communities, families and even whole communities care functional, and better serve the community.