摘要
目的本研究调查老年动脉粥样硬化性心脑血管疾病(ASCCVD)患者的体质状况,并有针对性的加以干预,为提高老年人健康水平提供理论依据。方法选取2018-2019年武汉市武昌区水果湖街社区卫生服务中心管理的208例>65岁ASCCVD患者作为研究对象,按照组间基本特征均衡的原则分为两组,各104例。对照组开展定期随访、用药指导、年度体检、中医体质辨识等健康管理服务,观察组根据患者体质辨识的结果有针对性的开展相应的中医健康指导,干预1年后分析效果。结果对照组和观察组前4位体质类型均为气虚质、阳虚质、痰湿质和血瘀质,其中对照组分别为22.1%、16.3%、15.4%、11.5%,观察组分别为19.2%、18.3%、16.3%和12.5%。干预后,观察组疾病知识了解程度得分为(17.79±1.14)分,高于对照组的(16.03±1.14)分,t=3.614,P=0.004;养生保健知识得分为(17.03±1.14)分,高于对照组的(15.23±1.13)分,t=3.696,P=0.003;健康行为执行情况得分为(18.23±1.14)分,高于对照组的(16.21±1.37)分,t=8.730,P<0.001。结论在常规健康管理和药物治疗基础上开展中医体质辨识和指导可以提高ASCCVD患者疾病知识了解程度、养生保健知识和健康行为执行情况。
Objective This study aimed to investigate the physical condition of elderly patients with atherosclerotic cardiovascular and cerebrovascular disease(ASCCVD),and to targete interventions to provide a theoretical basis for improving the health of the elderly.Methods A total of 208 patients with ASCCVD who were>65 years old managed by the Shuiguohu Street Community Health Service Center in Wuchang District of Wuhan City from 2018 to 2019 were selected as the research objects,and were divided into two groups according to the principle of balanced basic characteristics between the groups,each with 104 cases.The control group carried out health management services such as regular followup,medication guidance,annual physical examination,and TCM physical identification.The observation group carried out corresponding TCM health guidance based on the results of the patient’s physical identification,and analyzed the effect after 1 year of intervention.Results The first four physical types in the control group and the observation group were qi-deficiency,yang-deficiency,phlegm-dampness,and blood-stasis.The control group were 22.1%,16.3%,15.4%and 11.5%,and the observation group were 19.2%,18.3%,16.3%and 12.5%.After intervention,the observation group’s disease knowledge understanding score was 17.79±1.14,which was higher than that of the control group16.03±1.14,t=3.614,P=0.004.The health care knowledge score was 17.03±1.14,which was higher than that of the control group 15.23±1.13,t=3.696,P=0.003.The score of health behavior performance was 18.23±1.14,which was higher than that of the control group 16.21±1.37,t=8.730,P<0.001.Conclusion Carrying out TCM physical identification and guidance on the basis of conventional health management and drug treatment can improve the understanding of disease knowledge,health care knowledge and health behavior implementation.
作者
谢华
张玲
林杰
魏璐
余立平
XIE Hua;ZHANG Ling;LIN Jie;WEI Lu;YU Li-ping(Department of Traditional Chinese Medicine,Shuiguohu Street Community Health Service Center of WuchangDistrict,Wuhan 430061,China;Department of Rheumatology and Immunology,Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China;School of Health,Wuhan University,Wuhan 430071,China)
出处
《社区医学杂志》
CAS
2021年第1期44-47,共4页
Journal Of Community Medicine
基金
武汉大学健康学院第二期PSBH项目(2018013)
关键词
体质辨识
老年动脉粥样硬化性心脑血管疾病
疾病知识了解程度
气虚质
physical identification
senile atherosclerotic cardiovascular and cerebrovascular diseases
understanding of disease knowledge
qi-deficiency
