中国全科医学2017，Vol.20Issue(26)：3205-3209,3220,6.DOI:10.3969/j.issn.1007-9572.2017.00.014
医院-社区协同健康管理模式在脑卒中高危人群中的干预效果研究
Intervention Effect of Hospital-community-based Health Management Pattern in Populations at High Risk for Stroke
王倩 1支晓 2武鹏 1赫晓慈 1王艳峰 1孙柯聘 1张霆3
作者信息
- 1. 050000河北省石家庄市,河北医科大学第二医院脑卒中高危筛查与防治基地办公室
- 2. 050000河北省石家庄市,河北医科大学第二医院医务处
- 3. 050000 河北省石家庄市苑东社区卫生服务中心
- 折叠
摘要
Abstract
Objective To develop a hospital-community-based health management pattern in populations at high risk for stroke and to investigate its effect on the awareness level of the knowledge related to stroke prevention and treatment and health behaviors in such populations.Methods The 186 participants at high risk for stroke were selected via a baseline survey conducted in 1 196 permanent residents aged 40 or older conveniently sampled from a community in Shijiazhuang during March 2016 to March 2017.Based on the random number table,they were divided into intervention group and control group with 93 cases in each.Patients in both groups received the conventional health education,those in the intervention group additionally received services of hospital-community-based health management pattern,including services delivered by a two-level multidisciplinary health management team,daily health risk assessment,establishment of electronic health records,dynamic follow-up and individual intervention,health education through WeChat platform and salons and lectures based on " menu"themes.The awareness level of knowledge related to stroke and health behaviors in both groups were evaluated by Knowledge Related to Stroke Prevention and Treatment Questionnaire and the Chinese version of Health-promoting Lifestyle Profile Ⅱ (HPLP Ⅱ) 12 months after intervention.Results Compared with those in the control group,participants in the intervention group achieved higher total scores of Knowledge Related to Stroke Prevention and Treatment Questionnaire and scores of all of its subscales (awareness of stroke risk factors,awareness of knowledge about stroke prevention,awareness of early symptoms of stroke,awareness of treatment for the unexpected stroke),and they had higher scores of all the subscales (health responsibility,exercise,nutrition,stress management,interpersonal support and self-actualization) of HPLP Ⅱ (P ＜0.05).Conclusion The hospital-community-based health management pattern is contributive to the improvement of the awareness level of knowledge about stroke prevention and health behaviors among populations at high risk for stroke,which is worth learning and promoting.关键词
卒中/医院-社区协同健康管理/健康知识/健康行为/一级预防Key words
Stroke/Hospital-community-based health management/Health knowledge/Health behavior/Primary prevention分类
医药卫生引用本文复制引用
王倩,支晓,武鹏,赫晓慈,王艳峰,孙柯聘,张霆..医院-社区协同健康管理模式在脑卒中高危人群中的干预效果研究[J].中国全科医学,2017,20(26):3205-3209,3220,6.
