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中国初级卫生保健:2020,34(3):52-54
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社区慢性病管理模式在分化型甲状腺癌患者术后的应用研究
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中文摘要: 目的 探讨社区慢病管理模式应用于分化型甲状腺癌术后的干预效果。方法 我院医联体下属社区卫生服务中心服务区域内的DTC术后患者,作为观察组纳入慢病管理,对社区卫生人员进行DTC术后诊疗规范化培训,再由社区卫生工作人员观察组患者进行日常管理及随访并进行健康宣教。以周边社区医疗机构服务区域内DTC术后患者作为对照组,分别进行问卷调查,调查内容包括患者一般资料、手术情况、术后随访等情况。结果 两组患者进行术后饮食、服药、复查、TSH控制情况的比较,观察组均优于对照组,差别具有统计学意义(P<0.05或P<0.01)。比较两组患者服用优甲乐后出现心动过速、失眠、多汗、体重下降、四肢乏力等不良反应,观察组少于对照组,差别具有统计学意义(P<0.05)。结论 社区慢病管理模式应用于DTC术后患者的管理,能够帮助DTC术后患者掌握正确的DTC防治知识,树立良好的饮食习惯,规范随访,正确服药,减少不良反应,从而提升其术后的健康水平。
Abstract:Objective In order to investigate the intervention effect of community chronic management model in patients with DTC after operation.Methods The patients after DTC operation in the community health service center of our hospital were included in the chronic disease management as an observation group. The community health workers were given standardized training on DTC diagnosis and treatment after DTC operation, and then the community health workers conducted health education and daily management and follow-up for the patient.DTC patients after operation in the service area of surrounding community medical institutions were taken as the control group, and questionnaires were conducted respectively, including the general information of patients, operation conditions, postoperative follow-up and other conditions.Results The result showed that the comparison of postoperative diet, medication, reexamination and TSH control between the two groups showed that the observation group was superior to the control group, and the difference was statistically significant (P < 0.05 or P < 0.01).Compared with the control group, the adverse reactions such as tachycardia, insomnia, hyperhidrosis, weight loss, limb weakness and other adverse reactions occurred in the two groups after taking euonyl, the observation group was less than the control group, and the difference was statistically significant (P < 0.05).Conclusion The application of community chronic disease management model in the management of patients after DTC surgery can help patients to know the correct knowledge of DTC prevention and treatment, establish good eating habits, standardize follow-up, take medicine correctly, reduce adverse reactions and improve their postoperative health.
文章编号:3202003014     中图分类号:R736.1    文献标志码:
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