综合医院专科—社区合作管理对社区哮喘患者控制的影响.docVIP

PAGE PAGE 1 综合医院专科—社区合作管理对社区哮喘患者控制的影响 　　[摘要]目的评价综合医院呼吸哮喘专科-社区合作管理模式对社区哮喘患者疾病知识掌握及控制的影响。方法通过建立专科-社区合作型哮喘防治及管理体系，加强对社区哮喘患者的管理，并随机选取该模式管理1年以上的98例来自社区的哮喘患者，比较管理前后患者哮喘知识掌握情况及疾病控制情况。结果应用专科-社区合作模式管理后，患者对哮喘的疾病本质、诱发因素、病情监测、用药知识及治疗目标等认知率较管理前明显提高；ACT评分提示患者疾病控制状况明显好转；肺功能改善，FEV1%预计值及PEF%预计值显著提高（P 　　[关键词]支气管哮喘；社区；健康管理；疾病控制 　　[中图分类号]R562.2+5[文献标识码]B[文章编号]1673-9701（2013）07-0118-03 　　Theeffectsofgeneralhospitalspecialist-communitycooperationmanagementonasthmacontrolincommunitypatients 　　ZHANGShuangmei1MAOWei1YEGuofen2 　　1.RespiratoryDepartmentofHuzhouCentralHospitalinZhejiangProvince，Huzhou313000，China；2.AishanStreetCommunityHealthServiceCenterofWuxingDistrictHuzhouCityinZhejiangProvince，Huzhou313000，China 　　[Abstract]ObjectiveToevaluatetheeffectsofgeneralhospitalspecialist-communitycooperationmanagementonknowledgeapprehensionandconditionsofdiseasecontrolincommunitypatientswithasthma.MethodsTostrengthenasthmahealthmanagementthroughestablishspecialist-communitycooperationmanagement.Meanwhile，Atotalof98patientswhohadreceivedover1yearmanagementbyourspecialist-communitycooperationmodewererandomlyselected.Thenthepost-managnmentinformationwascomparedwiththepre’s，includingpatients’understandingofasthmaknowledgeandasthmacontrolsituationevaluatedbyACT.ResultsAftertheone-yearhealthadministrationthroughspecialist-communitycooperationmode，theunderstandingofasthmaknowledgeofthe98patients，includingdiseaseessentialquality，provocationfactors，pathogeneticconditionmonitoring，medicationknowledgeandtherapyobjectivewasimprovedobviously.TheconditionsofdiseasecontrolevaluatedbyACTwasimprovedobviously.ComparedwithPre-management，percentageofpredictedforcedexpiratoryvolumeinonesecond（FEV1%pre）andpeakexpiratoryflowrate（PEF%pre）ofpost-managementweresignificantlyimproved（P0.05）.ConclusionGeneralhospitalspecialist-communitycooperationmanagementplaysapositiveroleinthehealtheducationandasthmacontrol. 　　[Keywords]Asthma；Community；Healthmanagement；Diseasecontrol 　　支气管哮喘（简称哮喘）是世界范围严重威胁公众健康的主要慢性病之一，中国有近2千万人患有哮喘。研究