荆门市患者医疗意见领袖在社区慢性病健康管理干预中的介入可行性分析  

Intervene Feasibility Analysis of Community Chronic Disease Health Management Interference of Patieut Medical Opinion Leaders in Jingmen

作　　者：冯曾义[1] 高红霞[2] 李莹莹[3] 吴静[3] 唐艳艳[2] 刘礼诚[2] 徐娟[2] 

机构地区：[1]武汉市第一医院人事处,武汉430000 [2]华中科技大学同济医学院医药卫生管理学院,武汉430030 [3]华中科技大学同济医学院公共卫生学院,武汉430030

出　　处：《医学与社会》2017年第5期5-7,共3页Medicine and Society

基　　金：国家自然科学基金青年科学基金项目;编号为71303084;教育部人文社会科学研究青年基金项目;编号为14YJC630037

摘　　要：目的:以患者对家庭的影响力为切入点,探讨患者型医疗意见领袖在慢性病干预中的介入可行性。方法:采用修改的Flynn意见领袖问卷进行识别,运用分阶段整群随机抽样的方法选取荆门市4个小区265名高血压患者进行调查,采用卡方检验、Wilcoxon秩和检验进行组间比较。结果:筛选出的医疗意见领袖在健康管理主动性(获得防治知识,Z=-5.347,P<0.01;健康行为控制,Z=-4.729,P<0.01)、健康管理影响他人意愿(影响他人防治知识,Z=-6.904,P<0.01;劝说他人改善行为,Z=-6.931,P<0.01;劝说他人戒烟戒酒,Z=-6.286,P<0.01)和对家庭所有成员知识影响评分(Z=-3.696,P<0.01)等方面显著高于普通患者;但对家庭所有成员健康行为影响力评分方面两组未见显著差异。结论:潜在医疗意见领袖具有较强的健康管理主动性、健康管理影响他人意愿,以及较高的家庭知识影响力,在社区慢性病干预中具有知识传播的介入可行性。Objectives： With the patient＇s family influence as the breakthrough point, to explore the feasibility of medical opinion leaders in the chronic disease intervention from family support perspective. Methods： Revised opinion seeking scale by Flynn was used. Multistage randomized cluster sampling was used to select 4 communities in Jingmen. Face-to-face survey was carried out. Chi-square test and Wilcoxon test were used to compare the difference between groups. Results： The differences between med- ical opinion leader and ordinary patients in health management initiative （prevention knowledge： Z=-5.347,P〈0.01; health behavior control： Z=-4.729,P〈0.01）, health management impact tendency （affect others prevention knowledge： Z=-6.904,P〈0. 01 ; persuade others to improve behavior： Z =- 6.931, P〈 0.01 ; persuade others to give up smoking and drinking： Z = -6.286, P〈 0. 01 ）, family knowledge impact score （Z=-3.696,P〈0.01）were statistically significant. No difference was found between medical opinion leaders and ordinary patients in the family authority of prevention and treatment of chronic diseases. Conclusions： Potential medical opinion leaders who had higher health management initiative intend to influent families and change their health knowledge. Medical opinion leaders could be helper in Community chronic disease management.

关 键 词：意见领袖 慢性病管理 健康促进 家庭支持 社区卫生 

分 类 号：R19-0[医药卫生—卫生事业管理]