摘要
目的构建医院-社区协同健康管理模式,并探讨其对提高社区脑卒中高危人群脑卒中防治知识、健康行为水平的作用。方法 2016年3月—2017年3月,采用便利抽样法,对石家庄市某社区>40岁的常住居民1 196例进行基线调查,以筛选出的脑卒中高危人群186例为研究对象。按照随机数字表法将受试者分为干预组和对照组,各93例。对照组仅接受常规健康教育;干预组在常规健康教育的基础上实施医院-社区协同健康管理的新模式,包括构建两级多学科健康管理团队、日常健康风险评估、建立电子信息化健康档案、动态随访和个体化干预、微信平台健康宣教及"菜单式"主题沙龙讲座。于干预12个月后,采用脑卒中防治知识调查问卷、健康促进生活方式量表评价脑卒中相关知识、健康行为相关水平。结果干预组受试者脑卒中防治知识调查问卷危险因素认知、预防知识认知、早期症状认知、突发处理认知维度得分及总分均高于对照组,健康促进生活方式量表健康责任、运动锻炼、营养、压力应对、人际关系、自我实现分量表得分均高于对照组(P<0.05)。结论医院-社区协同健康管理模式有利于提高脑卒中高危人群的脑卒中防治知识及健康行为水平,值得借鉴推广。
Objective To develop a hospital-community-based health management pattern in populations at high risk for stroke and to investigate its effect on the awareness level of the knowledge related to stroke prevention and treatment and health behaviors in such populations. Methods The 186 participants at high risk for stroke were selected via a baseline survey conducted in 1 196 permanent residents aged 40 or older conveniently sampled from a community in Shijiazhuang during March2016 to March 2017. Based on the random number table,they were divided into intervention group and control group with 93 cases in each. Patients in both groups received the conventional health education,those in the intervention group additionally received services of hospital-community-based health management pattern, including services delivered by a two-level multidisciplinary health management team, daily health risk assessment, establishment of electronic health records, dynamic follow-up and individual intervention,health education through We Chat platform and salons and lectures based on ＂ menu＂ themes. The awareness level of knowledge related to stroke and health behaviors in both groups were evaluated by KnowledgeRelated to Stroke Prevention and Treatment Questionnaire and the Chinese version of Health-promoting Lifestyle Profile Ⅱ（ HPLP Ⅱ） 12 months after intervention. Results Compared with those in the control group,participants in the intervention group achieved higher total scores of Knowledge Related to Stroke Prevention and Treatment Questionnaire and scores of all of its subscales（ awareness of stroke risk factors,awareness of knowledge about stroke prevention,awareness of early symptoms of stroke,awareness of treatment for the unexpected stroke）,and they had higher scores of all the subscales（ health responsibility,exercise,nutrition,stress management,interpersonal support and self-actualization） of HPLP Ⅱ（ P〈0.05）. Conclusion The hospital-community-based health management pattern is contributive to the improvement of the awareness level of knowledge about stroke prevention and health behaviors among populations at high risk for stroke,which is worth learning and promoting.
出处
《中国全科医学》
CAS
北大核心
2017年第26期3205-3209,3220,共6页
Chinese General Practice
关键词
卒中
医院-社区协同健康管理
健康知识
健康行为
一级预防
Stroke
Hospital -community- based health management
Health knowledge
Health behavior
Primary prevention
