摘要
目的 探讨“医护社”三位一体服务模式对社区脑卒中中高危人群健康教育干预的服务成效,为进一步规范推动社区脑卒中中高危人群防治工作,实现从“治病”到“治未病”的战略目标提供参考。方法 选取2022年9—12月参与社区脑卒中高危人群筛查和干预项目的 95例脑卒中中高危人群为研究对象。以随机数字表法分为试验组(n=48)与对照组(n=47)。对照组由社区卫生服务中心的家庭医生常规开展不定期的健康教育指导和宣传册发放。试验组开展“医护社”三位一体服务模式。比较2组健康教育干预效果。结果 干预后,试验组知、信、行得分和总分分别为(15.53±5.02)分、(26.04±2.32)分、(29.73±3.04)分、(71.31±6.35)分,均高于对照组的(10.40±5.47)分、(24.63±2.71)分、(28.40±2.99)分、(63.43±6.05)分,差异有统计学意义(P<0.05)。干预后,试验组脑卒中风险等级分布优于对照组,差异有统计学意义(P<0.05)。结论 “医护社”三位一体服务模式提高了脑卒中中高危人群的知、信、行得分,并改善了脑卒中中高危人群的风险等级。
Objective To explore the service effectiveness of the"medical-nurse-community"three-in-one service model in health education and intervention for the medium and high-risk groups of stroke in the community,and to provide a reference for further standardizing and promoting the prevention and treatment of medium and high-risk groups of stroke in the community and achieving the strategic goal of transitioning from"treating diseases"to"preventing diseases before they occur".Methods A total of 95 people at medium and high risk of stroke who participated in the screening and intervention project for high-risk groups of stroke in the community from September to December 2022 were selected as the research subjects.They were divided into the experimental group(n=48)and the control group(n=47)by the random number table method.The control group received regular and irregular health education guidance and distribution of brochures from family doctors at the community health service center.The experimental group launched a"medical-nurse-community"three-in-one service model.The effects of health education intervention were compared between the two groups.Results After the intervention,the scores of knowledge,belief,practice and the total score of the experimental group were(15.53±5.02)points,(26.04±2.32)points,(29.73±3.04)points and(71.31±6.35)points respectively,which were higher than(10.40±5.47)points,(24.63±2.71)points,(28.40±2.99)points,(63.43±6.05)points of the control group,and the differences were statistically significant(P<0.05).After the intervention,the distribution of stroke risk levels in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The"medical-nurse-community"three-in-one service model has enhanced the scores of knowledge,belief and practice among the medium and high-risk groups of stroke,and improved their risk levels.
作者
刘小华
黄夏颖
郑子楠
高亚琪
黄玫
LIU Xiaohua;HUANG Xiaying;ZHENG Zinan;GAO Yaqi;HUANG Mei(Department of Medical Affairs,the First Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350004,China;School of Public Administration,Fujian Normal University,Fuzhou Fujian 350007,China;Department of Medical Affairs,Binhai Campus,the First Affiliated Hospital of Fujian Medical University/National Regional Medical Center,Fuzhou Fujian 350212,China)
出处
《中国卫生标准管理》
2025年第18期95-98,共4页
China Health Standard Management
基金
福建省医药卫生体制改革研究会2020年度“卫生健康政策创新研究”课题(2020C16)。
关键词
医务社工
“医护社”三位一体服务模式
脑卒中
中高危人群
干预评价
风险等级
medical social worker
"medical-nurse-community"three-in-one service model
stroke
medium and high-risk groups
intervention evaluation
risk level
