家庭医生签约管理模式在动脉粥样硬化性心血管疾病危险因素防控中的应用效果  

Application Effect of Family Physician Contract Management Model in Prevention and Control of Atherosclerotic Cardiovascular Disease Risk Factors

作　　者：张建国 卜少阳 酆鹏飞 吴建广 闫芳芳 罗金兵 Zhang Jianguo;Bu Shaoyang;Feng Pengfei;Wu Jianguang;Yan Fangfang;Luo Jinbing(Ulanqab Zhuozi County Qixiaying Community Health Service Center,Ulanqab 012314,Inner Mongolia Autonomous Region,China;Beijing Chaoyang District Tuanjiehu Community Health Service Center,Beijing 100026,China)

机构地区：[1]乌兰察布市卓资县旗下营卫生院,内蒙古自治区乌兰察布100026 [2]北京市朝阳区团结湖社区卫生服务中心,北京100026

出　　处：《中国社区医师》2024年第22期136-138,共3页Chinese Community Doctors

摘　　要：目的:探讨家庭医生签约管理模式在动脉粥样硬化性心血管疾病(ASCVD)危险因素防控中的应用效果。方法:选择2021年7月-2022年7月乌兰察布市卓资县旗下营卫生院收治的470例高危ASCVD患者作为研究对象,根据随机数字表法分为对照组和观察组,各235例。对照组实施常规管理模式,观察组实施家庭医生签约管理模式。比较两组体质量指数(BMI)、高密度脂蛋白胆固醇(HDL-C)、非HDL-C、收缩压(SBP)、舒张压(DBP)指标水平及吸烟率。结果:干预前,两组BMI、HDL-C、非HDL-C、SBP、DBP水平比较,差异无统计学意义(P>0.05);干预后,两组BMI与干预前无显著差异(P>0.05),两组非HDL-C、SBP、DBP水平均低于干预前,且观察组低于对照组,两组HDL-C水平高于干预前,且观察组高于对照组(P<0.05)。观察组吸烟率低于对照组(P=0.016)。结论:家庭医生签约管理模式在ASCVD危险因素防控中的应用效果较好,能够控制患者的血脂和血压水平,降低吸烟率,值得临床推广。Objective:To explore the application effect of family physician contract management model in the prevention and control of risk factors of atherosclerotic cardiovascular disease(ASCVD).Methods:A total of four hundred and seventy high-risk ASCVD patients admitted to Ulanqab Zhuozi County Qixiaying Community Health Service Center from July 2021 to July 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with two hundred and thirty-five patients in each group.The control group implemented the routine management mode,and the observation group implemented the family doctor contract management mode.Body mass index(BMI),high density lipoprotein cholesterol(HDL-C),non-HDL-C,systolic blood pressure(SBP),diastolic blood pressure(DBP)and smoking rate were compared between the two groups.Results:Before intervention,there was no significant difference in BMI,HDL-C,non-HDL-C,SBP and DBP levels between the two groups(P>0.05);there was no significant difference in BMI between the two groups after intervention and before intervention(P>0.05);the levels of non-HDL-C,SBP and DBP in both groups were lower than before intervention,and the observation group was lower than the control group,and the HDL-C level in both groups was higher than before intervention,and the observation group was higher than the control group(P<0.05);the smoking rate of observation group was lower than that of control group(P=0.016).Conclusion:The application effect of family doctor contract management mode in the prevention and control of ASCVD risk factors is good,which can control the level of blood lipids and blood pressure of patients,and reduce the smoking rate,which is worthy of clinical promotion.

关 键 词：家庭医生签约 动脉粥样硬化 心血管疾病 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]