健康管理对社区老年人慢性非传染性疾病影响的研究

目的 研究分析社区老年人健康管理途径,探寻防治慢性非传染性疾病提升老年人生存质量的社区管理模式.方法 对我社区管辖内的60岁以上老年人健康管理情况实施回顾性分析,以2012年统计的体检资料为对照组（未实施健康管理前）,以2013年统计的体检资料为观察组（实施健康管理后）,将两组老年人慢性非传染疾病（高血压、脂肪肝、高脂血症和糖尿病）的检出率、老年人对慢性疾病知识的知晓率、老年人自我管理能力和治疗依从性进行对比分析.结果 实施健康管理后老年人慢性疾病的检出率明显降低.观察组对于慢性非传染疾病诊断标准、危害和治疗与预防等知识的知晓率高于对照组.观察组心理调整、合理运动、饮食调整、规律用药和定期复查等自我管理能力及治疗依从性各项指标高于对照组.两组病患结果数据对比差异有显著统计学意义（P＜0.05）.结论 实施社区老年人健康管理能够提高其理论知识、自我管理能力和治疗依从性,在对慢性疾病能有效控制的同时提升其生活质量.

Health Management Research on the Elderly Patients with Chronic Non-infectious Diseases in Community Management

OBJECTIVE Analysis of elderly in community health management approach, exploring the promotion of prevention and con- trol of chronic non-communicable disease community management mode of quality of life of older persons. METHOD On I Communi- ty jurisdiction within 60 age above elderly health management situation implementation recalled sex analysis, to 2012 statistics of medical information for control group（not implementation health management）, to 2013 statistics of medical information for observation group （implementation health management）, will two group elderly chronic non-infection disease （hypertension, and fat liver, and high fat blood syndrome and diabetes）of seized out rate, and elderly on chronic disease knowledge of knows rate, and elderly self management capacity, and treatment compliance sex for compared analysis. RESULTS Implementation of the health management of elderly patients with chronic disease prevalence decreased significantly. Observer Group for thediagnostic criteria of chronic non-communicable diseases, damage, treatment, and prevention and other knowledge than a control group. Observer Group psychological adjustments, proper exercise, diet, regular medication, regular review of self-management skills, treatment compliance indicators are higher than the control group. Two sets of patient outcome data comparisons and the difference was statistically significant （P〈0.05）. CONCLUSION The implementation of community-based health management to enhance their theoretical knowledge, self-management skills, treatment compliance, can effectively control chronic diseases at the same time improve their quality of life.