医共体框架下管理模式在脑卒中高危人群中的应用  

Application of management model under medical community framework in high-risk population of stroke

作　　者：吴明灿[1] 李哲[2] 柳芳莉[3] WU Mingcan;LI Zhe;LIU Fangli(Department of Radiology,Yuyao People′s Hospital in Zhejiang Province,Yuyao315400,China;Department of Respiratory Medicine,Yuyao People′s Hospital in Zhejiang Province,Yuyao315400,China;Department of Ultrasonography,Yuyao People′s Hospital in Zhejiang Province,Yuyao315400,China)

机构地区：[1]浙江省余姚市人民医院放射科,浙江余姚315400 [2]浙江省余姚市人民医院呼吸内科,浙江余姚315400 [3]浙江省余姚市人民医院超声科,浙江余姚315400

出　　处：《中国现代医生》2022年第2期20-23,33,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2020ZH037)。

摘　　要：目的探讨医共体框架下管理模式对脑卒中高危人群管理的有效性。方法选取2019年3月至2020年12月浙江省余姚市人民医院医共体315例“医共体框架下管理模式的脑卒中高危人群”作为观察组,选取同期315例“非医共体框架下管理模式的脑卒中高危人群”作为对照组,比较两组饮食习惯、生活方式、生化指标、血压、药物规范使用状况及生活质量变化。结果观察组吸烟、不锻炼、饮酒患者占比分别为12.38%、3.81%、31.75%,低于对照组吸烟、不锻炼、饮酒患者的20.32%、18.41%、42.22%,差异有统计学意义(P<0.05);对照组低密度脂蛋白(LDL)、收缩压(SBP)、血清总胆固醇(TC)分别为(2.95±1.07)mmol/L、(126.53±63.47)mmHg、(4.76±1.28)mmol/L,观察组LDL、SBP、TC分别为(2.67±1.35)mmol/L、(114.52±17.05)mmHg、(4.41±1.73)mmol/L,观察组生化指标与血压低于对照组(P<0.05);对照组规范服药率为10.16%,观察组规范服药率为97.46%,对照组用药知晓率为58.73%,观察组用药知晓率为99.05%,观察组规范服药率与用药知晓率高于对照组(P<0.05);对照组精神健康评分为(76.78±6.86)分,观察组精神健康评分为(88.34±7.42)分,观察组精神健康评分高于对照组(P<0.05)。结论对脑卒中高危人群进行基于医共体框架下有效管理,效果理想,可改善患者饮食与生活习惯,患者用药知晓率与生活质量评分明显上升。Objective To explore the effectiveness of the management model under medical community framework for stroke high-risk population management.Methods A total of 315 cases of"stroke high-risk population with management mode under medical community framework"from March 2019 to December 2020 of Yuyao People′s Hospital in Zhejiang Province Medical Community were selected as the observation group,and 315 cases of"high-risk population with management mode under non-medical community framework"were selected as the control group during the same period.The dietary habits,lifestyle,biochemical indexes,blood pressure,standard medication and quality of life were compared between the two groups.Results The proportions of smoking,non-exercising,and drinking patients in the observation group were 12.38%,3.81%,and 31.75%,respectively,which were lower than those in the control group by 20.32%,18.41%,and 42.22%of smoking,non-exercising,and drinking patients.The difference was statistically significant(P<0.05);control group low-density lipoprotein(LDL),systolic blood pressure(SBP),serum total cholesterol(TC)were(2.95±1.07)mmol/L,(126.53±63.47)mmHg,(4.76±1.28)mmol/L,respectively L,LDL,SBP and TC of the observation group were(2.67±1.35)mmol/L,(114.52±17.05)mmHg,(4.41±1.73)mmol/L,respectively.The biochemical indexes and blood pressure of the observation group were lower than those of the control group(P<0.05);the standardized medication rate of the control group was 10.16%,the standardized medication rate of the observation group was 97.46%,the control group's medication awareness rate was 58.73%,the observation group′s medication awareness rate was 99.05%,the observation group′s standardized medication rate and medication awareness rate were higher than those of the control Group(P<0.05);the mental health score of the control group was(76.78±6.86)points,the mental health score of the observation group was(88.34±7.42)points,and the mental health score of the observation group was higher than that of the control group(P<0.0

关 键 词：医共体框架 脑卒中高危人群 生活方式 生化指标 规范用药 

分 类 号：R742[医药卫生—神经病学与精神病学]