医院-社区一体化管理对冠心病干预效果的影响分析

目的 探讨医院-社区一体化管理对冠心病干预效果的影响.方法 2010年7月～2012年1月,选取苏州市盛泽镇583例冠心病患者,随机分为干预组287例和对照组296例.干预组进行为期1.5年医院-社区一体化冠心病综合干预,包括健康教育、行为干预、心理干预及药物干预;对照组维持原有的治疗模式及常规的冠心病相关知识教育.结果 综合干预1.5年后,干预组冠心病危险因素知晓度、健康行为形成率明显提高(P＜0.01),血压、体质指数明显降低(P＜0.01),血脂、血糖水平明显改善(P＜0.05),主要心血管事件发生率明显下降(P＜0.05),与对照组比较均有显著性差异.结论 医院-社区一体化管理冠心病干预效果显著,具有重要示范和推广意义.

Effects of Comprehensive Intervention on Coronary Artery Heart Disease Under Hospital -Community Integrated Health Management Mode

AimTo explore comprehensive intervention of coronary heart disease under Hospital-Community Health Integrated Management Mode, and to evaluate the effects.Methods583 patients with coronary heart disease from Shengze Jiangsu were randomly recruited into two groups: intervention group (287 patients) and control group (296 patients).Patients in the intervention group received comprehensive intervention for 1.5 years from July of 2010 to January of 2011, including health education and behavior, psychological and drug intervention; while patients in the control group received conventional treatment and education on relative knowledge of coronary heart disease.ResultsAfter 1.5-year intervention, the coronary risk factors awareness rate and healthy-behavior formation rate had shown significant change (p<0.01).The index of blood pressure and weight were significantly decreased (p<0.01).The level of blood glucose and lipid profiles were significantly improved (p<0.05).The cardiovascular events significantly decreased (p<0.05).ConclusionEstablishing comprehensive intervention of coronary heart disease under Hospital-Community Health Integrated Management Mode is entirely feasible.It serves as important exemplifications and is worthy of popularizing.