社区慢性疼痛性疾病管理①.pdfVIP

中国康复理论与实践2013 年5 月第19 卷第5 期 Chin J Rehabil Theory Pract, May. 2013, Vol. 19, No.5 - 475 - DOI: 10.3969/j.issn.1006-9771.2013.05.020 ·社区康复· 社区慢性疼痛性疾病管理① 曾宪明，漆海如，刘宝，刘烈斌，赵家安，陈亚影，卓春芳 [摘要] 目的 探索建立社区卫生服务与区域医院的医疗服务对慢性疼痛性疾病管理的新模式。方法 对中山市火炬开发区濠 头社区常住居民的慢性疼痛性疾病行关键技术集成应用前后进行流行病学调查。结果 慢性疼痛性疾病的患病率为51.83% ，其中 男性为47.06% ，女性为57.32% ；关键技术集成应用后疗效的优良率从30.22%提高到67.08% ，医疗费用下降了36.16% ，病休天数 由平均32.42 d 减少至平均15.25 d(均P0.001) 。结论 具有网络终端、集规范化诊治、远程会诊、健康教育为一体的社区卫生服务 与区域医院对慢性疼痛疾病的共同管理模式能提高社区慢性疼痛管理效果。 [关键词] 慢性疼痛；社区卫生服务；双向转诊；健康教育 Chronic Pain Disease Management in Community ZENG Xian-ming, QI Hai-ru, LIU Bao, et al. Zhongshan Torch Development Dis- trict Hospital, Zhongshan 528437, Guangdong, China Abstract: Objective To evaluate a model of management for chronic pain disease coordinated community health services and district hospital. Methods The epidemiology of chronic pain disease was surveyed in Haotao community of Zhongshan, before and after the estab - lishment of the model of management. Results The prevalence rate of chronic pain disease was 51.83%, in which it was 47.06% in men, and 57.32% in women. After the establishment of the model, the efficacy of good to excellent improved from 30.22% to 67.08%, the cost for medicine reduced 36.16%, time for rest reduced from 32.42 d to 15.25 d (P0.05). Conclusion The model of management that coordinated community health services and district hospital, including demonstration diagnosis and treatment through internet, tele-consultations and health education, is effective on chronic pain disease. Key words: chronic pain; community health services; dual referral; health education [中图分类号] R441.1 [文献标识码] A [文章编号] 1006-9771(2013)05-0475-03 [本文著录格式] 曾宪明，漆海如，刘宝，等. 社区慢性疼痛性疾病管理[J]. 中国康