家庭医生责任制对社区慢性心力衰竭患者生存质量的影响研究  

Effects of Family Doctor Responsibility System on Quality of Life of Patients with Chronic Heart Failure in Community

作　　者：张琦[1] 许志红[2] 王瑞英[3] 

机构地区：[1]山西医科大学,山西省太原市030001 [2]山西医科大学第二医院预防保健科 [3]山西医科大学第二医院心内科

出　　处：《中国全科医学》2011年第31期3546-3548,共3页Chinese General Practice

基　　金：山西省科技厅攻关项目(20100311098-6)

摘　　要：目的评估家庭医生责任制对社区慢性心力衰竭患者生存质量的影响。方法将入选的100例社区慢性心力衰竭患者随机分为观察组和对照组,每组各50例。对照组实施常规诊疗,观察组在接受常规诊疗的同时实施家庭医生责任制管理。采用明尼苏达心力衰竭生存质量量表对两组患者的生存质量进行评估。结果基线时两组患者的临床特征、生存质量比较,差异均无统计学意义(P>0.05)。6个月后,观察组患者的生存质量较对照组明显改善:身体领域(14.24±9.33)分vs.(22.18±11.57)分,情绪领域(5.32±4.78)分vs.(8.66±6.82)分,综合生存质量(28.90±18.81)分vs.(44.70±23.24)分,差异均有统计学意义(P<0.01)。结论运用家庭医生责任制对社区慢性心力衰竭患者进行管理,可有效提高患者的生存质量。Objective To evaluate the effect of family doctor responsibility system on quality of life of patients with chronic heart failure in community. Methods The 100 recruited patients with chronic heart failure in community were randomly divided as trial group and control group,with 50 in each group.Routine diagnosis and treatment were used for patients in the control group,while the family doctor responsibility system was used for patients in the trial group when they were accepting the routine diagnosis and treatment.The qualities of life of all the patients were evaluated by adopting Minnesota Living with Heart Failure Questionnaire（MLHFQ）. Results Baseline clinical characteristics and quality of life between the two groups showed no significant difference（P0.05）.After 6 months,the quality of life in the trial group was significantly better than that in the control group： physical quality of life score was（14.24±9.33）vs.（22.18±11.57）,emotional quality of life score（5.32±4.78）vs.（8.66±6.82）,total quality of life score（28.90±18.81） vs.（44.70±23.24）（P0.01）. Conclusion The quality of life in patients with chronic heart failure in community can be effectively improved with the family doctor responsibility system.

关 键 词：家庭医生责任制 慢性心力衰竭 生存质量 

分 类 号：R197[医药卫生—卫生事业管理] R541.6[医药卫生—公共卫生与预防医学]