家庭医生式服务模式对社区脑卒中患者生存质量影响研究  

Utility of family medicine services mode in improving quality of life in stroke patients in community

作　　者：刘秀梅[1,2] 刘新颖[1,2] 葛彩英[1,2] 贾鸿雁[1,2] 孔慜[1,2] 吴浩[1,2] 张向东[3] 赵京[3] 兰丽娜[3] 

机构地区：[1]首都医科大学全科医学与继续教育学院 [2]北京市丰台区方庄社区卫生服务中心全科,北京市100078 [3]北京市社区卫生服务管理中心,100053

出　　处：《中华全科医学》2015年第4期616-618,共3页Chinese Journal of General Practice

基　　金：北京市优秀人才培养资助项目(2013D00800400-0004);北京市科学技术委员会市委;市政府重点工作及区县政府应急项目(z121100000312082)

摘　　要：目的探讨家庭医生式服务模式对社区脑卒中患者生存质量的影响。方法以方庄社区脑卒中患者77例作为研究对象,进行家庭医生式服务模式干预,采用世界卫生组织生存质量测定量表(WHOQOL-BREF)对研究对象干预前后的生存质量进行测定。结果 77名研究对象的基本情况:男性40名(51.95%),女性37名(48.05%);平均年龄(70.74±9.56)岁;平均患病时间(9.73±7.20)年;在文化程度方面:小学22人,初中21人,高中30人,本科4人;在职业方面:工人25人,农民3人,行政工作者16人,服务行业20人,知识分子13人。干预前,研究对象在生存质量主观感觉,健康状况主观感觉、生理领域、心理领域、社会关系领域、环境领域上的得分分别为(3.16±0.81)分、(3.10±0.84)分、(14.01±3.26)分、(13.41+3.39)分、(9.62±1.99)分、(17.44±4.99)分;干预后研究对象在上述领域的得分依次为:(3.68±0.77)分、(3.62±0.80)分、(19.81±4.86)分、(17.66±4.26)分、(10.19±1.91)分、(20.43±5.44)分;干预后的平均得分均高于干预前,且差别具有统计学意义(P<0.05)。结论家庭医生式服务模式能有效地提高社区脑卒中患者的生存质量。Objective To investigate the utility of family medicine services mode in improving the quality of life（QOL） in stroke patients in community. Methods A total of 77 stroke patients in Fangzhuang community was enrolled in this study. The family medicine services mode of family doctors was performed in all patients. The World Health Organization Quality of Life （WHOQOL） was used to measure QOL of patients before and after the intervention. Results The basic information of 77 patients ： there were 40 men（ 51.95% ） and 37 women （48.05 % ） with a mean age of （ 70.74 ±9.56 ） years;The mean disease duration was （9.73 ± 7.20） years. The educational level ：22 reached only primary school education,21 reached junior middle school education, 30 reached senior education, and 4 were with college degree. Occupations ：25 were workers,3 were farmers, 16 were administrative workers,20 were service industry, and 13 intellectuals. Before the intervention, the scores for the subjective feeling of the patients on QOL and health condition, physiological field, psychological field,social relations field and environment field were 3.10 ± 0.84,14.01± 3.26,13.41± 3.39,9.62 ±1.99 and 17.44 ± 4.99, and after the intervention were 3.68± 0.77,3.62 ± 0.80,19.81±4.86,17.66 ±4.26, 10.19 ± 1.91 and 20.43 ±5.44 ;the average score was higher than before the intervention,and the difference was statistically significant（ P 〈 0.05）. Conclusion The family medicine services mode of family doctors family doctor service model can effectively improve QOL of the stroke patients in community.

关 键 词：脑卒中 家庭医生式服务 生存质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R492[医药卫生—临床医学]