家庭医生签约服务模式在居民健康综合护理中的应用研究

目的 研究家庭医生签约模式在社区居民健康综合护理中的成效.方法 选择广州市荔湾区金花街社区186户共620人为研究对象,随机分为两组,观察组采用家庭医生签约服务的方式进行健康综合护理,对照组仅提供常规社区卫生健康服务;进行1年后,对两种模式下的服务效果进行比较,对比两组居民的健康档案建立情况、随访情况、健康知识问卷得分、满意度和疾病痊愈率.结果 观察组的健康档案建立率达到97.1％、随访覆盖率为41.3％、参加健康讲座≥3次率为56.4％,对照组分别为39.7％、16.5％和17.8％,观察组均显著高于对照组(均P＜0.05);随访对象观察组随访频率＜0.5个月比例为11.1％,随访频率0.5～1个月比例为32.5％,对照组分别为1.9％、9.6％,观察组显著高于对照组(P＜0.05);观察组健康知识问卷正确率各项均显著高于对照组(P＜0.05);观察组非常满意比例(85.3％)和总满意比例(98.7％)显著高于对照组(分别为48.9％和90.5％),均P＜0.05;观察组的一般疾病痊愈率(96.2％)显著高于对照组(88.2％)(P＜0.05).结论 在居民健康综合护理中采用家庭医生签约方式能够更有效地掌握住户人群健康状况,更好地普及健康教育,提高居民的满意度和疾病痊愈率,效果更好,值得推广.

Application of family doctor contracted service mode in comprehensive nursing care for residents' health

Objective To study the effect of family doctor contracted service mode in comprehensive nursing care for residents' health.Methods A total of 620 residents from Jinhua Street Community,Liwan,Guangzhou were randomly divided into an observation group and a control group.The observation group was treated by family doctor contracted service mode.The control group was only provided with regular community health care.1 year from then,the effects,the health records,follow-up conditions,health knowledge questionnaire score,satisfaction,and disease cured rate were compared between these two groups.Results The health record building rate,the follow-up rate,and the rate of attending health lecture ≥ 3 times were 97.1％,41.3％,and 56.4％ in the observation group and were 39.7％,16.5％,and 17.8％ in the control group (all P ＜ 0.05).11.1％ patients were followed up 0.5 time per month and 32.5％ 0.5-1.0 time per month in the observation group and 1.9％ and 9.6％ in the control group (P ＜ 0.05).The health knowledge questionnaire score was higher in the observation group than in the control group (P ＜ 0.05).The satisfaction rates were significantly higher in the observation group than in the control group (85.3％ vs.48.9％ and 98.7％ vs.90.5％,both P ＜ 0.05).The disease cured rate was significantly higher in the observation group than in the control group (96.2％ vs.88.2％,P ＜ 0.05).Conclusions The application of family doctor contracted service mode in comprehensive nursing care for residents' health can effectively command the residents' health situation,generalize health education,increase the residents' satisfaction and disease cured rate,so it is worth being generalized.