医联体牵头医院在慢病管理中引领实践与思考.docVIP

医联体牵头医院在慢病管理中引领实践与思考 　　【摘要】 目的：探?医联体牵头医院在慢病管理中的应用效果及实践思考。方法：选取2014年 　　7月-2017年3月医院收治的慢病患者90例，按照随机数字表法分为对照组（n=45）和观察组（n=45）。对照组采用常规方法管理，观察组采用医联体牵头医院管理，采用SF-36生活质量量表对两组管理前后生活质量进行评估，比较两组管理效果及知晓率情况。结果：观察组管理后慢病知晓率、中医养生知晓率、家庭行为改变及药物依从性，均高于对照组（P0.05）；观察组管理后自我管理行为、自我效能及健康状况评分，均高于对照组（P0.05），观察组管理后生活质量评分均高于对照组（P0.05）。结论：慢病患者治疗过程中采用医联体牵头医院管理效果理想，有助于改善患者健康状态，提高管理与控制效果，值得推广应用。 　　【关键词】 医联体牵头； 慢病管理； 应用效果； 实践思考； 常规方法； 健康状态 　　Practice and Thinking of Leading Hospital of Medical Conjoined in the Management of Chronic Diseases/WANG Yong-bing，FANG Wei-min.//Medical Innovation of China，2017，14（30）：132-135 　　【Abstract】 Objective：To explore the effect and practice of medical conjoined leading in the management of chronic diseases.Method：A total of 90 patients with chronic diseases admitted to the hospital from July 2014 to March 2017 were randomly divided into the control group（n=45） and the observation group（n=45）.The control group was given conventional methods of management，the observation group was given leading hospital of medical conjoined，SF-36 quality of life scale was used to evaluate the quality of life of two groups before and after management，the management effect and awareness rate of two groups were compared.Result：After management，the chronic disease awareness，Chinese health awareness，family behavior changes and drug compliance of the observation group were higher than those of the control group（P0.05）.After management，the scores of self-management behavior，self-efficacy and health status of the observation group were higher than those of the control group（P0.05），after management the quality of life scores of observation group were higher than those of the control group（P0.05）.Conclusion：The use of medical conjoined lead hospital in the management of patients with chronic diseases is ideal，which can help improve the health status of patients，improve the management and control effect，and it is worthy of popularization and application. 　　【Key words】 Medical conjoined l