基于社区卫生服务的不同人群中医健康教育效果评价  

Assessment on effects of community health service-based traditional Chinese medicine health education for different crowds

作　　者：刘虹宏 支倩[1] 秦玉花[1] 

机构地区：[1]重庆市沙坪坝区疾病预防控制中心,400038

出　　处：《检验医学与临床》2017年第7期923-925,928,共4页Laboratory Medicine and Clinic

基　　金：国家中医药管理局试点项目(渝中医[2011]70号)

摘　　要：目的了解儿童、青春期、孕产妇、更年期、老年人、高血压患者对中医健康教育工作的态度和需求,探索中医健康教育服务纳入基本公共卫生服务的新型工作模式。方法采用社区试验研究的类试验设计,开展以社区卫生服务机构为依托的目标人群干预,干预人员为社区卫生服务机构从事中医、预防保健的医务人员,干预措施主要包括中医健康知识讲座、发放中医健康教育处方、观看中医视频及面对面中医指导等,干预前后进行问卷调查。结果干预后,除儿童外,青春期、孕产妇、更年期、老年人、高血压患者中医就诊率分别从22.8%、25.3%、28.1%、28.4%、46.7%提高到29.8%、47.6%、78.7%、41.8%、67.1%;6类人群中医知识知晓率分别从65.0%、76.7%、74.0%、67.8%、61.5%、64.6%提高到91.0%、87.5%、95.2%、86.9%、98.7%、87.2%;行为形成率从78.0%、75.2%、82.0%、67.6%、72.5%、32.8%提高到95.4%、89.8%、94.9%、87.4%、93.5%、93.3%;技能掌握率从36.9%、82.1%、47.8%、43.9%、38.4%、60.4%提高到96.6%、90.6%、72.3%、54.3%、84.1%、89.2%,差异有统计学意义(P<0.05)。结论针对6类人群基于社区卫生服务的中医健康教育干预工作取得显著成效。Objective To understand the attitude and demands of children,adolescents,pregnant and lying-in women,menopaus- al women,elderly and hypertensive patients for traditional Chinese medicine（TCM） health education work and to explore the new type work pattern of TCM including into the basic public health service. Methods The quasi-trial design of community experiment was adopted, the targeted crowds intervention relying on the community health service institution was carried out, the intervention personnel were the medical staffs engaging TCM and prevention and health care in these institutions. The intervention measures in cluded the health knowledge lectures of TCM,TCM health education prescriptions,watching TCM videos,and face to face TCM guidance. The questionnaire survey was conducted before and after intervention. Results Except for children, the outpatient rates of TCM after intervention in adolescents, pregnant woman, menopausal woman, old people and hypertensive patients were increased from 22.8% ,25.3% ,28.1% ,28.4% and 46.7% to 29.8% ,47.6% ,78.7%/00,41.8% and 67.1% respectively. The awareness rates of TCM knowledge were increased from 65.0%,76.7%,74.0%,67.8%,61.5% and 64.6% to 91.0%,87.5%,95.2%,86.9%, 98.7 % and 87.2 % respectively; the behavior formation rates were increased from 78.0%,75. 2 %, 82. 0 %, 67. 6 %, 72. 5 % and 32.8% to 95.4% ,89.8% ,94.9% ,87.4%,93.5% and 93.3% respectively;the skills mastering rates were increased from 36.9%, 82.1%,47. 8% ,43. 9% ,38. 4% ,and 60.4% to 96. 6%,90. 6%,72. 3%,54. 3%,84. 1% and 89.2% respectively, the differences were statistically significant（P〈0.05）. Conclusion A community health service-based TCM health education intervention work ai- ming at 6 kinds of crowds obtains significant achievement.

关 键 词：社区卫生服务 中医 健康教育 干预性研究 

分 类 号：R197.1[医药卫生—卫生事业管理]