社区体重管理对慢性心力衰竭患者体重监测依从性及再住院率的影响  

Effect of community weight management on the weight compliance supervision and readmission rate in the patients with chronic heart failure

作　　者：陈吉 刘瑶 邝海东 史玲 CHEN Ji;LIU Yao;KUANG Haidong;SHI Ling(Department of General Practice of Yichuan Community Health Service Center of Putuo District,Shanghai 200065,China;Department of General Practice of Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;Putuo District Center of Health Affairs Management,Shanghai 200335,China)

机构地区：[1]上海市普陀区宜川街道社区卫生服务中心全科,上海200065 [2]复旦大学附属中山医院全科医学,上海200032 [3]上海市普陀区卫生健康事务管理中心,上海200335

出　　处：《上海医药》2024年第18期45-48,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市普陀区区科委课题(ptkwws202124);2020年上海市医苑新星青年医师培养计划(沪卫人事[2021]99号)。

摘　　要：目的:探讨家庭医生团队指导下的体重管理对慢性心力衰竭(CHF)患者中体重监测依从性及再住院率的影响。方法:选取2019年6月-2020年5月在上海市普陀区宜川街道社区卫生服务中心就诊的256例CHF患者,采用随机数字表法分为干预组(128例)和对照组(128例)。对干预组患者开展家庭医生团队的体重管理指导及干预,对对照组给予常规健康宣教。结果:干预前,两组患者的体重监测依从性分布和再住院率差异均无统计学意义(均P>0.05)。管理1年后,干预组患者体重监测依从性分布和自我管理量表评分均高于对照组,再住院率低于对照组,差异均有统计学意义(P<0.05)。结论:家庭医生团队指导下的体重干预有助于提高患者体重监测的依从性,降低再住院率。Objective:To explore the effect of weight management under the guidance of family doctors’team on the weight compliance supervision and readmission rate in patients with chronic heart failure(CHF).Methods:Two hundred and forty-nine CHF patients treated in Yichuan Community Health Service Center of Putuo District,Shanghai from June 2019 to May 2020 were selected and divided into an intervention group with 128 cases and a control group with 128 cases by random number table method.The intervention group received the weight management guidance and intervention of the family doctors’team,while the control group received routine health education.Results:Before intervention,there were no significant differences in weight compliance supervision distribution and readmission rate(P>0.05).After 1 year management,the weight compliance supervision distribution and self-management scale score in the intervention group were significantly higher than those in the control group,and readmission rate was lower in the intervention group than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Weight intervention under the guidance of family doctors’team can help improve the patients’weight supervision compliance and reduce the readmission rate.

关 键 词：慢性心力衰竭 体重管理 家庭医生 依从性 再入院 

分 类 号：R54[医药卫生—心血管疾病]