CAJ | 학술논문

目的:观察治未病健康分级管理方案在社区老年人中的应用效果.方法:随机选取2个居委会的303例社区老年人,分为干预组144例和对照组159例,分别按照治未病健康分级管理,对照组采用健康指导和管理.干预1年后观察效果.采用卡方检验比较干预前后率和构成比的变化.结果:干预组和对照组分别有141例和152例完成研究.干预后,干预组体质指数(BMI)正常比例为71.6%(101/141),明显高于对照组的55.3%(84/152,P<0.05).干预后,干预组"不经常体育锻炼"率由干预前的60.4%(87/141)下降至41.1%(58/141),差异有统计学意义(χ2=10.598,P<0.05).满意度调查中,干预组的体检结果传达的及时性、服务态度和健康管理效果的满意率分为95.7%(135/141)、100.0%(141/141)和85.8%(121/141),均高于对照组的89.5%(136/152)、96.7%(147/152)和75.7%(115/152),差异有统计学意义(P均<0.05).结论:老年人对治未病健康分级管理接受度较高,该方案对于改善老年人健康状况有积极作用,应注重健康分级管理的长期效应观察.
목적:관찰치미병건강분급관리방안재사구노년인중적응용효과.방법:수궤선취2개거위회적303례사구노년인,분위간예조144례화대조조159례,분별안조치미병건강분급관리,대조조채용건강지도화관리.간예1년후관찰효과.채용잡방검험비교간예전후솔화구성비적변화.결과:간예조화대조조분별유141례화152례완성연구.간예후,간예조체질지수(BMI)정상비례위71.6%(101/141),명현고우대조조적55.3%(84/152,P<0.05).간예후,간예조"불경상체육단련"솔유간예전적60.4%(87/141)하강지41.1%(58/141),차이유통계학의의(χ2=10.598,P<0.05).만의도조사중,간예조적체검결과전체적급시성、복무태도화건강관리효과적만의솔분위95.7%(135/141)、100.0%(141/141)화85.8%(121/141),균고우대조조적89.5%(136/152)、96.7%(147/152)화75.7%(115/152),차이유통계학의의(P균<0.05).결론:노년인대치미병건강분급관리접수도교고,해방안대우개선노년인건강상황유적겁작용,응주중건강분급관리적장기효응관찰.
Objective:To observe the implementation effect of the scheme of the prevention ifrst health classiifcation management in the community elderly people.Methods: Three hundred and three elderly people in 2 communities were selected randomly and divided into an intervention group with 144 cases and a control one with 159 cases, and the intervention group was managed according to the prevention ifrst health classiifcation, and the control one with the health guidance and management, respectively. After one year intervention, the results were observed.Results: The intervention and control groups had 141 and 152 cases ifnished the research. The normal rate of BMI was 71.6% (101/141) which was higher in the intervention group than 55.3% (84/152) in the control group (P<0.05). The rate of "non regular physical exercise" in the intervention group decreased from 60.4% (87/141) to 41.1% (58/141), and the difference had the statistical signiifcance (χ2=10.598,P<0.05). In the satisfaction survey, the satisfaction rates of the timeliness to convey the examination results, service attitude and health management effectiveness were 95.7% (135/141), 100.0% (141/141) and 85.8% (121/141) in the intervention group, which were higher than 89.5% (136/152), 96.7% (147/152) and 75.7%(115/152) in the control group, whose differences had the statistical signiifcance (P<0.05). Conclusion:The elderly people has a high degree of acceptance for the prevention first health classification management and the scheme has the positive function in the improvement of the elderly health condition, and attention should be paid to the observation of the long term effect of the health classiifcation management.