北京市月坛社区65岁及以上痴呆患者的社区管理情况及就诊需求调查  

Survey on management and service needs among elderly dementia patients in Beijing Yuetan community

作　　者：边立立[1] 侯武姿[1] 董玉明[1] 杜雪平[1] 徐斌[2] 丁静[1] Bian Lili;Hou Wuzi;Dong Yuming;Du Xueping;Xu Bin;Ding Jing(Yuetan Community Health Service Center of Fuxing Hospital Affiliated to Capital Medical University,Beijing 100045,China;Department of Neurology,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045 [2]首都医科大学附属复兴医院神经内科,北京100038

出　　处：《中华全科医师杂志》2018年第9期714-716,共3页Chinese Journal of General Practitioners

基　　金：北京市西城区全科医生发展专项研究项目

摘　　要：为了解月坛社区≥65岁痴呆患者的管理现况和患者或家属的就诊需求，选取2016年3月1日至12月31日月坛社区卫生服务中心及各站健康档案中年龄≥65岁、由专科医院确诊为痴呆的患者为研究对象。查阅健康档案和全科诊疗记录获得研究对象基本资料，并通过自行设计的调查问卷了解患者及家属的就诊需求。共纳入符合条件的痴呆患者91例。其中，16．5％（15／91）的患者或家属反映患者的病情是由社区医院发现的，19．9％（18／91）的患者所在社区医院有治疗痴呆的药物。反映社区能为患者提供治疗指导、痴呆用药、转诊服务、能对患者进行病情评估、定期随访、专业指导、上¨服务和心理咨询服务的患者或家属分为有29例（31．8％）、18例（19．9％）、33例（36．3％）、19例（20．9％）、23例（25．3％）、24例（26．4％）、49例（53．8％）和29例（31．9％）。53．8％（49／91）痴呆患者或家属希望社区卫生服务机构能为其提供刚药指导，17．6％（16／91）痴呆患者或其家属希望对痴呆患者的照顾者进行专业指导。提示目前月坛社区卫生服务中心及各站在痴呆患者社区管理方面提供的服务还比较少，在药物指导和患者家庭照顾方面尚不能满足患者和家属的需求。Patients aged ≥65 years with dementia diagnosed by neurologieal specialists were selected in Yuetan community from March 2016 to December 2016. The basic information of patients was collected from the health and medical records; the needs for community care were obtained through a questionnaire survey. Total 91 elderly patients with dementia was included in the study, among whom 15 （ 16.5% ） were found by community institutions, 18 （19.9%） patients got medication from the comnmnity health institutions. The survey showed that the numbers of participants who agreed that the community health service could provide treatment, drug prescription, referral service, condition assessment, regular follow-up, professional guidance tot caregivers, door-to-door service and counseling services for patients and their relatives were 29 （31.8%）, 18 （19.9%）, 33 （36.3%）, 19 （20.9%）, 23 （25.3%）, 24 （26.4%）, 49 （53.8%） and 29 （31.9%）, respectively. Results showed that 53.8% （49/91） dementia patients or their family members wanted to receive instruction of drug use in community health service, 17.6% （ 16/91 ） wanted to know about the professional care skill as earegivers. Currently the services for dementia patients in health service centers and stations of Yuetan community are less sufficient, which cannot meet the needs of dementia patients and their family members.

关 键 词：痴呆 疾病管理 社区卫生服务 

分 类 号：R749.16[医药卫生—神经病学与精神病学]