摘要
[目的]在社区实施慢性病自我管理项目,并评估其对慢性病患者综合干预效果,进而在多个社区进行推广。[方法]在徐汇区长桥社区,开展慢性病自我管理项目社区动员6个月,对636名志愿参加慢性病自我管理项目的居民,随机分为干预组326人,对照组278人,采用统一问卷进行基线调查后,对干预组实施慢性病自我管理项目综合干预,对照组不做干预,6个月后再次进行问卷调查。[结果]干预组每周平均耐力锻炼时间增加,明显高于对照组(F=6.09,P=0.01),认知症状管理方法实践评分亦高于对照组,两者差异有统计学意义(F=121.95,P=0.00);干预组在健康状况的6个方面(整体健康自评、健康担忧、气短、疼痛、失能、情绪低落)明显好于对照组,两组之间差异有统计学意义(P﹤0.05)。[结论]在社区开展慢性病自我管理项目综合干预,取得了良好效果。
[Objective] To implement the self management program of chronic disease in community, evaluate the effects of integrative intervention, and generalize the program in several other communities. [Methods] After mobilization in implementing self-management of chronic disease program in community for 6 months, 636 volunteers participated in this self management program, with 326 volunteers in intervention group, and 278 volunteers in comparison group. They were investigated with the consolidate questionnaire twice. [Results] The average time for exercise resistance every week in intervention group was longer than that in the comparison group. The difference was statistically significant （F= 6.09, P= 0.01 ） . The practice scores of congnitive symptom management methods in intervention group were higher than that in comparison group. The difference was statistically significant （F= 121.95, P= 0.00） . The six aspects of health condition including whole health selfevaluation, heath anxiety, hard breath, pain, ability loss, and spirits depression in intervention group were better than that in comparison group （P〈 0.05） . [Conclusion] There is a good effect of integrative intervention on chronic disease by self management program in community.
出处
《现代预防医学》
CAS
北大核心
2007年第11期2148-2149,2152,共3页
Modern Preventive Medicine
关键词
社区
慢性病
自我管理
综合干预
评估
Community
Chronic disease
Self management
Integrative intervention
Evaluation
