走进社区医疗2年来的体会.docVIP

精品论文 参考文献 走进社区医疗2年来的体会 周定初(湖南省娄底市娄星区人民医院 湖南娄底 417000) 【中图分类号】R197 【文献标识码】B【文章编号】1672-5085(2013)26-0396-03 【摘要】 目的 观察心脑血管疾病、糖尿病等慢性病人，经医院住院治疗出院回家后，继续跟踪医疗与转归。方法 医院组织一支由医、护、技组成的医疗队伍，对出院回家的120例心脑血管等慢性病人继续跟踪医疗、护理、健康教育，建立信息档案，上门服务作为观察组(A组)。同时，对另一社区基本情况相同的116例病人，采用传统方法，非上门服务作为对照组(B组)。结果 A组病人症状改善、生活质量提高、规律服药均明显高于B组，而再住院率、死亡率明显低于B组(P0.05)。结论 下社区上门服务，有利于慢性疾病的管理，有利于慢性病人的康复与生活质量的提高。 【关键词】 心脑血管疾病 糖尿病 慢性病人 跟踪医疗 2 years of experience into the community medical 【Abstract】Purpose: Observed cardiovascular and cerebrovascular diseases, diabetes and other chronic diseases, discharged home after hospital treatment, continue to track the medical and outcome. Method: Hospital organize a medical team of physicians, nurses and technicians, and the medical team keep track of medical, nursing, health education on home of 120 cases of cardiovascular and other chronic patients, establish the patientsrsquo; information archives, and provide on-site service. Thatrsquo;s as the observation group (A Group). At the same time, another community of 116 patients, the use of traditional methods, non-site service as a contrast group (B Group). Result: A group of patients with improvement in symptoms, improved quality of life, regular medication were significantly higher than group B, and readmission rates, mortality was significantly lower than group B. Conclusion: Hospital provide community on-site medical service, is conducive to the management of chronic diseases, is conducive to improvement of quality of life and the rehabilitation of people with chronic diseases. 【Key Words】 Cardiovascular and cerebrovascular diseases, Diabetes, People with chronic diseases, Tracking medical 随着新的医改政策施行以后，基层医院工作的重点已由原来的病人单一主动来医院就诊转为医务人员主动走进社区服务。2年来，我院专门派出一支由医、护、技组成的医疗队伍，走进社区上门服务，为病人解决了许多难题，也使我深有体会。通过对120例心脑血管、糖尿病等病人的上门医疗，与另一社区116例相同病人非上门服务的调查，发现上门服务组病人生活质量、症状控制明显高于非上门服务组，而再住院率、病死率却明显低于非上门服务组。 1 资料与方法 1.1 一般资料：从2010年10月—2012年10月，我院对一个社区的120例(A组)心脑血管病、糖尿病等慢性疾病经各医院住院治疗后，出院回家继续上门为其医