CAJ | 학술논문

目的：探究社区规范化管理在降低院外冠心病患者的终点事件及提高患者依存性方面的价值。方法选取在我院心内科办理出院回归某一社区的冠心病患者200例，将他们随机分成对照组和管理组，分别进行自我管理和社区规范化管理，比较不同终点事件的发生率和患者在饮食、运动、用药方面的依存性。结果管理组患者变异性心绞痛、心肌梗死、心力衰竭的发生率（5.00%、4.00%、2.00%）均低于对照组（33.00%、29.00%、26.00%），P均<0.05，差异有统计学意义；管理组患者在饮食、运动、用药方面，依存性好的比例（70.00%、75.00%、85.00%）大于对照组（30.00%、25.00%、45.00%），依存性差的比例（6.00%、5.00%、3.00%）小于对照组（30.00%、25.00%、28.00%），P均<0.05，差异有统计学意义。结论社区规范化管理在降低院外冠心病患者的终点事件及提高患者依存性方面的有着重要意义，为改善冠心病的转归和遏制冠心病的病情发展提供了保障。
목적：탐구사구규범화관리재강저원외관심병환자적종점사건급제고환자의존성방면적개치。방법선취재아원심내과판리출원회귀모일사구적관심병환자200례，장타문수궤분성대조조화관리조，분별진행자아관리화사구규범화관리，비교불동종점사건적발생솔화환자재음식、운동、용약방면적의존성。결과관리조환자변이성심교통、심기경사、심력쇠갈적발생솔（5.00%、4.00%、2.00%）균저우대조조（33.00%、29.00%、26.00%），P균<0.05，차이유통계학의의；관리조환자재음식、운동、용약방면，의존성호적비례（70.00%、75.00%、85.00%）대우대조조（30.00%、25.00%、45.00%），의존성차적비례（6.00%、5.00%、3.00%）소우대조조（30.00%、25.00%、28.00%），P균<0.05，차이유통계학의의。결론사구규범화관리재강저원외관심병환자적종점사건급제고환자의존성방면적유착중요의의，위개선관심병적전귀화알제관심병적병정발전제공료보장。
Objective To explore the values of community standard management in decreasing outcome event and improving dependency of patients with coronary heart <br> disease(CHD).Methods 200 CHD patients backed to some communities after discharge from medicine of hospital were selected as the study objects, and randomly divided them into control group and management group, self-management and community standard management were applied in two groups respectively, incidence of different outcome events, dependency in diet, exercise and medicine of two groups were compared. Results In management group, incidence of variant angina, myocardial infarction, cardiac failure(5.00%、4.00%、2.00%) were significantly lower than control group (33.00%、29.00%、26.00%),P<0.05, differences were statistically significant; and in respect of diet, exercise, medicine, good dependency of management group (70.00%、75.00%、85.00%)were significantly higher than control group (30.00%、25.00%、45.00%),bad dependency of management group(6.00%、5.00%、3.00%)were lower than control group(30.00%、25.00%、28.00%),P<0.05, differences were statistically significant. Conclusion Community standard management has great significances in decreasing the outcome events and improving dependency of patients with CHD, which improves the symptoms of patients and provides guarantee for disease progression.