智慧养老社区及服务模式创新应用研究  

Study on the Innovative Application of Smart Elderly Care Community and Service Model

作　　者：湛惠萍[1] 叶冬婷 杨小青 戴丽彬 李燕燕[1] Zhan Huiping;Ye Dongting;Yang Xiaoqing;Dai Libin;Li Yanyan(Zhangzhou Health Vocational College,Zhangzhou,Fujian 363000,China;Dongputou Community Health Service Center of Xiangcheng District,Zhangzhou,Fujian 363000,China)

机构地区：[1]漳州卫生职业学院,福建漳州363000 [2]漳州市芗城区东铺头社区卫生服务中心,福建漳州363000

出　　处：《大理大学学报》2025年第2期89-94,共6页Journal of Dali University

基　　金：漳州卫生职业学院校级科研项目(ZWYS202403);福建省社会科学基金项目(FJ2023C086)。

摘　　要：目的:构建智慧养老社区及服务模式创新策略,并评价其应用于福建省某社区老年慢性病患者管理的效果。方法:选择2023年1—12月福建省某社区1356名老年慢性病患者为观察组,以周边某社区1474名老年慢性病患者为对照组,观察组管理采用智慧养老社区及服务模式创新策略,对照组接受常规的社区慢性病管理,对比2组老年慢性病患者血压、血糖、血脂控制效果和达标率变化,以及生活方式、疾病知晓率、管理满意度变化。结果:干预1年后,观察组收缩压、舒张压,空腹血糖、餐后2 h血糖,甘油三酯、总胆固醇、低密度脂蛋白胆固醇,吸烟率、饮酒率均显著低于对照组(P<0.05),其高密度脂蛋白胆固醇,血压、血糖、血脂控制达标率,规律运动率,高血压、糖尿病、高脂血症知晓率,管理满意度均显著高于对照组(P<0.05)。结论:智慧养老社区及服务模式创新策略能够有效改善患者血压、血糖、血脂管理水平,提高达标率,且有助于帮助患者保持良好的生活习惯,提高慢性病知晓率和管理满意度。Objective:To construct smart elderly care community and service model innovation strategy,and evaluate the effect of its application in the management of elderly chronic disease patients in a community in Fujian Province.Methods:A total of 1356 elderly patients with chronic diseases in a community in Fujian Province from January to December 2023 were selected as the observation group,and 1474 elderly patients with chronic diseases in a nearby community were selected as the control group.The management of the observation group adopted the smart elderly care community and service model innovation strategy,and the control group received the conventional community management of chronic diseases.The effect of blood pressure,blood glucose and blood lipids control effect and attainment rate changes were compared,as well as changes in lifestyle,disease awareness rate,management satisfaction degree.Results:After one year's intervention,the systolic blood pressure,diastolic blood pressure,fasting plasma glucose,2 hour postprandial plasma glucose,triglyceride,total cholesterol,low-density lipoprotein cholesterol,smoking rate and drinking rate in the observation group were significantly lower than those in the control group(P<0.05).The high-density lipoprotein cholesterol,the control rates of blood pressure,blood glucose and blood lipids,regular exercise rate,the awareness rates of hypertension,diabetes and hyperlipidemia,and management satisfaction degree in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The smart elderly care community and innovative strategy of service model can effectively improve the management level and attainment rate of patients'blood pressure,blood glucose and blood lipids,and help patients maintain good living habits,improve the awareness rate of chronic diseases and management satisfaction degree.

关 键 词：智慧养老社区 服务模式 福建 老年 慢性病管理 

分 类 号：R544.1[医药卫生—心血管疾病]