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中国初级卫生保健:2018,32(3):38-
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全科团队服务模式对高桥社区养老机构老人的干预效果评价
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中文摘要: 目的 评价全科团队服务模式对养老机构老人的干预效果,提出适合高桥社区养老机构的健康管理模式,为社区全科团队管理模式在养老机构中的应用提供依据。方法 将高桥社区养老机构随机分为全科团队干预组和对照组,比较通过全科团队服务模式干预后,干预组和对照组敬老院老人健康指标变化情况。结果 干预后,干预组空腹血糖、餐后2 h血糖、糖化血红蛋白、甘油三酯、总胆固醇、高密度脂蛋白、收缩压和舒张压方面较对照组有所改善,差异均有统计学意义(t=19.7、11.72、21.21、3.92、2.94、2.16、11.26和16.6,P<0.05);干预组睡眠质量总评分低于对照组,差异有统计学意义(t=2.23,P<0.05);干预组主观总体幸福感量表评价总得分高于对照组,差异有统计学意义(t=2.23,P<0.05)。结论 全科团队服务模式可有效提高社区养老机构老人的健康状况,值得开展。
Abstract:OBJECTIVE To evaluate the effect of intervention team service model of the whole department of elderly pension institutions, the health management mode for Gaoqiao community pension institutions, provide the basis for the application of general practitioner team in the management of pension institutions.METHOD The community pension institutions in Gaoqiao were randomly divided into the general medical team, the intervention group and the control group. The changes in the health indicators of the elderly in the intervention group and the control group were compared by the intervention of the general practitioner team service model.RESULT After the intervention, the intervention group compared with the control group, fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, triglyceride, total cholesterol, high density lipoprotein, systolic blood pressure and diastolic blood pressure were improved, the differences were statistically significant (t=19.7, 11.72, 21.21, 3.92, 2.94, 2.16, 11.26, 16.6, P<0.05);The total score of sleep quality in the intervention group was lower than that in the control group, the difference was statistically significant (t=2.23,P﹤0.05);The subjective well-being of the intervention group was higher than that of the control group, and the difference was statistically significant(t=2.23,P<0.05). CONCLUSION The general practitioner team service model can effectively improve the health status of the elderly in the community care institutions and deserve to be carried out.
文章编号:3201803013     中图分类号:R197    文献标志码:
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