医院-社区-家庭一体化管理模式在社区老年人VTE预防中的应用  

Application of hospital-community-family integrated management model for VTE prevention among community elderly people

作　　者：李兰 莫伟[1] 王庆[1] 胡琴[1] 李琴 吴雅琴 罗成林 LI Lan;Mo Wei;Wang Qing;Hu Qin;Li Qin;Wu Yaqin;Luo Chenglin(Department of Interventional Vascular Surgery,Hunan Provincial People's Hospital(the First Affiliated Hospital of Hunan Normal University),Hunan Changsha 410000,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)介入血管外科,湖南长沙410000

出　　处：《中华介入放射学电子杂志》2025年第1期88-92,共5页Chinese Journal of Interventional Radiology:electronic edition

基　　金：胡南省老年医学研究所老年血管疾病研究中心项目(20240307-1007)。

摘　　要：目的探讨医院-社区-家庭一体化管理模式在社区老年人静脉血栓栓塞症(venous thromboembolism,VTE)预防中的效果。方法采用类实验的方法,抽取长沙市某两个社区各25名老年人(年龄≥60岁)作为研究对象。对照组给予常规预防干预,试验组在常规干预的基础上增加社区老年人VTE预防的医院-社区-家庭一体化管理模式进行干预,干预时间从2023年7月至10月。干预3个月后,对比分析2组社区老年人的VTE知晓率、认知水平得分、健康行为依从性得分、D-二聚体浓度及VTE发生率。结果本研究实际纳入老年人46例,每组23例。干预后试验组VTE知晓率、认知水平得分、健康行为依从性得分均高于对照组(P<0.05);试验组干预后D-二聚体浓度低于干预前(P<0.05)。结论应用医院-社区-家庭一体化管理模式可提高社区老年人VTE知晓率、认知水平、健康行为依从性,并在一定程度上可降低D-二聚体浓度,从而控制和降低VTE的发生风险。Objective To explore the effectiveness of the hospital-community-family integrated management model in the prevention of venous thromboembolism(VTE)in elderly people in the community.Methods A quasi-experiment method was used to select 25 elderly people(aged≥60)from each of two communities in Changsha as the research subjects.The control group received routine preventive intervention,while the experimental group added a hospital-community-family integrated management model for VTE prevention among elderly people in the community on the basis of routine intervention.The intervention period was from July to October 2023.After three months of intervention,a comparative analysis was conducted on the VTE awareness rate,cognitive level score,health behavior compliance score,D-dimer concentration,and VTE incidence rate of the two groups of elderly people in the community.Results This study included 46 elderly individuals,with 23 cases in each group.After intervention,the VTE awareness rate,cognitive level score,and health behavior compliance score in the experimental group were higher than those in the control group(P<0.05);After intervention,the D-dimer concentration in the experimental group was lower than before intervention(P<0.05).Conclusion The application of the hospital-community-family integrated management model can improve the awareness rate of VTE,cognitive level,and health behavior compliance of elderly people in the community,and to some extent reduce the D-dimer concentration,thereby controlling and reducing the risk of VTE occurrence.

关 键 词：社区老年人 静脉血栓栓塞症预防 医院-社区-家庭一体化 认知水平 应用效果 

分 类 号：R473.2[医药卫生—护理学]