老年慢性病病人社区管理状况的横断面调查  

Cross-sectional survey of community management in elderly patients with chronic diseases

作　　者：陆婵 郭建玲 程岩 任利群[4] 吴燕平[4] LU Chan;GUO Jianling;CHENG Yan;REN Liqun;WU Yanping(School of Medicine,Southeast University,Nanjing 210009,China;Suojin Village Community Health Service Center of Xuanwu District,Nanjing 210018,China;Xuanwu Lake Community Health Service Center in Xuanwu District,Nanjing 210042,China;Department of Geriatrics,Zhongda Hospital Southeast University,Nanjing 210009,China)

机构地区：[1]东南大学医学院,江苏省南京市210009 [2]南京市玄武区锁金村社区卫生服务中心,江苏省南京市210018 [3]南京市玄武区玄武湖社区卫生服务中心,江苏省南京市210042 [4]东南大学附属中大医院老年科,江苏省南京市210009

出　　处：《实用老年医学》2024年第12期1210-1214,共5页Practical Geriatrics

基　　金：江苏省卫健委老年健康处带头人项目(LR2021014)。

摘　　要：目的调查南京市社区老年慢性病病人慢性病管理水平现状及影响因素。方法选取2023年7—9月南京市玄武湖社区卫生服务中心和锁金村社区卫生服务中心的120例老年慢性病病人为研究对象,采用一般资料调查表、迪纳生活满意度量表(SWLS)、社会支持评定量表(SSRS)、家庭关怀度评估问卷(APGAR)、慢性病管理评价量表(PACIC)进行横断面调查,采用Pearson相关分析以及多元线性回归分析慢性病管理水平的影响因素。结果120例老年慢性病病人PACIC得分为(2.75±0.47)分,代表中水平医疗支持。其中低水平医疗支持5例(4.2%)、中水平医疗支持106例(88.3%)、高水平医疗支持9例(7.5%)。单因素分析结果显示,低水平、中水平、高水平医疗支持组间SWLS、SSRS、APGAR评分差异有统计学意义(P<0.05)。多元线性回归分析显示,生活满意度和社会支持是影响老年慢性病病人慢性病管理水平的影响因素(P<0.05)。结论老年慢性病病人慢性病管理水平不高,临床医护人员需要制定针对老年人特定需求的慢性病管理策略,以改善他们的健康状况和生活质量。Objective To investigate the current situation and the influencing factors of chronic disease management in the elderly patients with chronic diseases in the communities of Nanjing.Methods From July to September 2023,120 elderly patients with chronic diseases were selected from the Xuanwu Lake Community Health Service Center and Suojin Village Community Health Service Center in Nanjing.A cross-sectional survey was conducted using a general information questionnaire,Satisfaction with Life Scale(SWLS),Social Support Rating Scale(SSRS),Family Adaption,Partnership,Growth,Affection,and Resolve(APGAR),and Patient Assessment of Chronic Illness Care(PACIC).Pearson correlation analysis and multiple linear regression analysis were conducted to investigate the influencing factors of the score of PACIC.Results The score of PACIC in the 120 elderly patients with chronic diseases was 2.75±0.47,indicating a moderate level of medical support.Among them,5 cases(4.2%)presented with low-level medical support,106 cases(88.3%)presented with moderate-level medical support,and 9 cases(7.5%)presented with high-level medical support.The results of single factor analysis showed that there were significant differences in SWLS,SSRS and APGAR scores among the three groups(P<0.05).Multiple linear regression analysis showed that life satisfaction and social support were influencing factors of the score of PACIC in the elderly patients with chronic diseases(P<0.05).Conclusions The level of chronic disease management in the elderly patients is not high and is influenced by various factors.Clinical medical staff need to develop chronic disease management strategies to improve health status and quality of life in the elderly.

关 键 词：老年人 慢性病管理 社区管理 横断面调查 

分 类 号：R592[医药卫生—老年医学]