社区医院就诊患者的特点研究  

Clinical characteristics of patients in community health service

作　　者：陈宇萍[1] 马云涛 孟宪全 熊鸣[1] 曲佳[1] 张达矜[1] 解鹏[1] 

机构地区：[1]海军总医院海战伤中心,北京100048 [2]甘家口社区卫生服务中心,北京100037

出　　处：《海军总医院学报》2010年第1期22-23,共2页Journal of Naval General Hospital of PLA

摘　　要：目的研究社区就诊人群的疾病特点,指导社区医疗工作。方法收集2008年8-11月社区门诊就诊患者进行分析。精神评定用Zong焦虑自评量表(SAS)和抑郁自评量表(SDS)。结果社区就诊的患者年龄偏大,有66%的患者年龄在50～79岁,患2种以上慢性病者占11.2%以上,骨关节炎患者占9.2%以上,焦虑抑郁患者占28.7%。结论社区就诊患者以老年人为主,以高血压、糖尿病等慢性病多见,焦虑抑郁状态也不少。社区医疗应以疾病为中心的模式转变为以健康为中心的生物-心理-社会医学模式,关心患者身心健康、进行健康教育至关重要。Objective To analyze the clinical characteristics of patients in community health service and guide the work. Methods To collect patients in community health service from Aug. to Nov. 2008 and analyzed. Ninety-eight patients were assessed with Zong SAS and SDS scales. Results Ages of patients at community health service were older, 66% patients were 50-70 years groups. The incidence of more than two diseases co-occurence, osteoarthritiscand anxiety and depression state were 12%,9% and 29% respectively. Conclusion The main patient groups of community health service were old people, and they always had chronic diseases such as hypertension and diabetes mellitus. Patients with anxiety and depression state were common. The model of community health service need to be changed from disease centre to life-psychology-society model. It is important for community patients to practise physical and mental health education.

关 键 词：社区医疗 老年人 

分 类 号：R197[医药卫生—卫生事业管理]