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目的探讨全科医疗模式防治社区慢性病的效果。方法 2013年5—9月选取独山港镇全塘、黄姑两社区作为研究对象,全塘社区采取常规医疗服务模式,黄姑社区实行全科医疗服务模式。对比两社区慢性病登记情况、慢性病相关知识掌握情况、慢性病治疗及控制达标情况等。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果黄姑社区的建档率、糖尿病登记率、高血压登记率及慢性知识掌握率分别为100.0%、5.4%、6.7%、100.0%均明显高于全塘社区的85.2%、1.8%、2.2%、92.4%,差异均有统计意义(均P<0.05);黄姑社区的糖尿病、高血压两病控制达标率分别为84.6%、87.8%均高于全塘社区的63.4%和65.2%,差异均有统计意义(均P<0.05)。结论对于社区慢性病的治疗而言,采取全科医疗模式,可有效防治慢性病,改善和提高患者的生活质量,具有重要的临床推广和实践意义。
Objective To explore the effect of general medical mode on prevention and treatment of community chronic diseases. Methods From May to September 2013, two communities of Quan Tang and Huang Gu of Dushan Harbor Town were selected as research objects. Quan Tang community adopted a regular medical service model and Huang Gu community implemented a general practice medical service mode. Chronic disease registration comparison of two communities, chronic disease-related knowledge, chronic disease treatment and control compliance and so on. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The rate of filing, registration of diabetes, rate of hypertension registration and knowledge of chronic diseases in Huanggu community were 100.0%, 5.4%, 6.7% and 100.0% respectively, which were significantly higher than those of Quanzha community (85.2%, 1.8%, 2.2 % And 92.4%, respectively (all P <0.05). The compliance rate of diabetes and hypertension in Huanggu community was 84.6% and 87.8%, respectively, higher than 63.4% and 65.2% in Quantang community, The differences were statistically significant (all P <0.05). Conclusion For the treatment of chronic diseases in the community, the adoption of a general medical model can effectively prevent and treat chronic diseases and improve and improve the quality of life of patients, which has important clinical promotion and practical significance.