摘要
目的:研究温州市两家医院网络合作随访促进老年慢病患者利用社区卫生服务的作用。方法:2012年1月-2013年11月,招募180例老年慢病患者随机分为实验组和对照组。实验组接受网络合作随访,对照组接受综合医院电话随访和社区医院随访。随访后,评价2组患者的社区卫生服务年化利用次数、对社区医护人员的满意程度。结果:随访第1-6个月和第7-12个月,实验组的社区卫生服务年化利用次数均较对照组多,差异均有统计学意义(P<0.01)。实验组随访的第7-12个月社区卫生服务年化利用次数较随访第1-6个月多,差异有统计学意义(P<0.01)。随访6个月和12个月后,实验组对全科医生和社区护士的技术水平、服务态度及总体满意程度均较对照组高,差异均有统计学意义(P<0.05或0.01)。实验组随访12个月后对全科医生和社区护士技术水平的满意程度均高于随访6个月后,差异均有统计学意义(P<0.05)。实验组随访12个月后对社区护士的总满意度高于随访6个月后,差异有统计学意义(P<0.05)。随访12个月后,患者对全科医生和社区护士的总满意度均和患者的社区卫生服务年化利用次数呈正相关(P<0.05)。结论:网络合作随访提高社区医护人员技术水平,提供良好服务,能够促进老年慢病患者对社区卫生服务的利用。
Objective : To study whether cooperative follow - up based on internet can promote old patients with chronic disease to use community health services. Methods : From January 2012 to November 2013 , 180 old outpatients with chronic disease were recruited, after then they were randomly divided into experimental group and control group. The experimental group was given cooperative follow - up based on internet,while the control group was given telephone follow - up and community follow - up. After six - month follow - up and twelve - month follow - up,the patients'" satisfaction and times of using community health services were evaluated. Results : During the first six - month follow - up and the second six - month follow - up, the times of using community health services of the experimental group patients was more than that of the control group patients. The difference was statistically significant (P <0. 01). The times of using community health services of the experimental group patients during the second six - month follow - up was more than that of the experimental group patients during the first six - month follow - up. The difference was statistically significant ( P < 0. 01) . After six - month follow - up and twelve - month follow - up, the satisfaction with the general practitioners and the community nurses of the experimental group patients were both higher than those of the control group patients. The difference was statistically significant (P < 0 .0 5 or 0 .0 1 ). The satisfaction with the technology of the general practitioners and the community nurses of the experimental group patients after twelve - month follow - up was higher than that of the experimental group patients after six - month follow - up.The difference was statistically significant (P < 0 .0 5 ). The patients^satisfaction was positively corelated to their times of using community health services ( P <0. 05). Conclusion: Cooperative follow - up based on internet can promote old patients with chronic disease to use community health servic
作者
杨晶晶
余雪菲
何晓慧
杨丽
林赛赛
顾叶春
Yang Jingjing(Department o f Neurology, Wenzhou Central Hospital, Wenzhou, 325000)
出处
《医学与社会》
2016年第8期82-84,共3页
Medicine and Society
基金
浙江省卫生厅课题
编号为2014KYB258
关键词
慢病
网络合作随访
温州
Chronic Disease
Network Cooperation Follow -Up
Wenzhou
