摘要
目的探讨家庭医生社区规范化管理应用于冠心病经皮冠状动脉介入治疗(PCI)术后患者的管理效果。方法选择该院2019年11月—2020年11月收治的冠心病PCI术后患者108例进行探讨分析,经随机数字表法分为常规组、分析组,各54例,常规组行常规管理,分析组行家庭医生社区规范化管理,比较两组管理效果。结果分析组患者疾病改善情况、满意度良好,即病情稳定评分为(85.49±4.29)分、满意度评分为(91.62±2.16)分,均高于常规组,差异有统计学意义(P<0.05);疾病发作评分为(23.49±3.24)分,低于常规组,差异有统计学意义(P<0.05);分析组患者生活质量优异,即总体健康为(89.47±15.23)分、精神健康为(90.52±15.46)分、生理职能为(93.42±10.27)分,均较常规组高,差异有统计学意义(P<0.05);躯体疼痛为(35.29±11.39)分,比常规组低,差异有统计学意义(P<0.05);分析组患者的自我管理总有效率为98.15%,常规组自我管理总有效率为75.93%,分析组比常规组高,差异有统计学意义(P<0.05);分析组不良事件总发生率为3.70%,常规组不良事件发生率为24.07%,分析组较常规组低,差异有统计学意义(P<0.05)。结论对冠心病PCI术后患者实施家庭医生社区规范化管理,有助于稳固患者病情,增进生活质量,确保了患者药物治疗期间的安全性,是患者认可度较高的管理模式,同时也有益于增进患者的自我管理有效率,使患者的治疗有效性显著升高。
Objective To explore the effect of community standardized management of family doctors in the management of patients with coronary heart disease after PCI.Methods 108 patients with coronary heart disease after PCI in the hospital from November 2019 to November 2020 were selected for discussion and analysis.They were divided into a conventional group and an analysis group by a random number table method,with 54 cases in each group,the routine group was under routine management,and the analysis group was under standard family doctor community management,and the management effects of the two groups were compared.Results The disease improvement and satisfaction of the patients in the analysis group were good,that was,the stable condition score was(85.49±4.29)points,and the satisfaction score was(91.62±2.16)points,which were higher than those in the conventional group,the difference was statistically significant(P<0.05);the disease attack score was(23.49±3.24)points,lower than the conventional group,the difference was statistically significant(P<0.05);patients in the analysis group had excellent quality of life,that was,overall health was(89.47±15.23)points,mental health was(90.52±15.46)points,and physiological functions was(93.42±10.27)points,which were higher than those in the conventional group,the difference was statistically significant(P<0.05);body pain was(35.29±11.39)points,which was lower than the conventional group,the difference was statistically significant(P<0.05);the total effective rate of self-management in the analysis group was 98.15%,compared with the conventional group of the total effective rate of self-management was 75.93%,which was higher in the analysis group than in the conventional group,the difference was statistically significant(P<0.05);the total incidence of adverse events in the analysis group was 3.70%,and the incidence of adverse events in the conventional group was 24.07%,which was lower in the analysis group than in the conventional group,the difference was statistically sign
作者
何祥胜
HE Xiangsheng(Department of Cardiovascular and Cerebrovascular Specialist,Baojing County Hospital of Traditional Chinese Medicine,Baojing,Hunan Province,416500 China)
出处
《中国卫生产业》
2021年第12期1-4,共4页
China Health Industry
关键词
冠心病
PCI
家庭医生
社区规范化管理
Coronary heart disease
PCI
Family doctor
Social standardized management
