| 许秀文,吴新春.老年慢病管理现状及改进路径初探[J].中国临床保健杂志,2025,28(3):407-410. |
| 老年慢病管理现状及改进路径初探 |
| Preliminary exploration on the current situation and improvement path of elderly chronic disease management |
| 投稿时间：2025-03-07 |
| DOI：10.3969/J.issn.1672-6790.2025.03.026 |
| 中文关键词: 慢性病共病 疾病管理 健康老龄化 老年人 |
| 英文关键词: Multiple chronic conditions Disease management Healthy aging Aged 〖FL |
| 基金项目:安徽省社会科学创新发展研究项目(2020cx038) |
|
| 摘要点击次数: 311 |
| 全文下载次数: 509 |
| 中文摘要: |
| 目的 探讨符合老年人需求的老年慢病健康管理路径,为老年人慢性病防治和健康促进提供科学依据。方法 2022—2023年期间采用问卷调查的方法,对合肥市(镇)和农村60岁及以上的人群进行问卷调查,并针对合肥市老年康养中心、医养机构、社区医疗卫生服务中心进行专家咨询访谈,探讨老年慢病的有效防控路径。结果 在抽样调查的人群中,老年人慢病自我管理或者接受医生慢性病管理指导率达95.47%,说明基层老年慢病教育有一定成效；老年人对社区管理中疾病的健康指导方案满意度较高,达到96.23%,反映了基层医疗服务有效；在进行慢病管理效果影响因素探索中,发现老年慢病的救治能力影响慢病管理的满意效果；在老年人对自身疾病反复发作,救治繁琐时,对疾病诊治的模式认可度较低(62.26%)。被咨询的专家一致认为,多学科团队对老年慢病的防控有着重要意义,并提出可以借鉴多重慢病整合式服务模式,提高针对老年人的疾病救治能力,构建适合中国化的多重慢病管理整合模式。结论 鉴于老年人多病共存,建立以多学科团队为核心的多重慢病管理整合模式有助于提高老年慢病的救治能力,促进慢病管理模式更加系统化。 |
| 英文摘要: |
| Objective To explore and analyze the health management path of chronic diseases of the elderly that meets the needs of the elderly,and to provide scientific basis for the prevention and treatment of chronic diseases and health promotion of the elderly.Methods From 2022 to 2023,A questionnaire survey was conducted among the population aged 60 and above in Hefei city (towns) and rural areas,and expert consultation and interview were conducted among the elderly health care centers,medical care institutions and community medical and health service centers in Hefei city,so as to analyze the effective prevention and control paths of chronic diseases of the elderly according to the current situation.Results The self-management knowledge of the elderly or the awareness rate of family members reached 95.47%,indicating that the primary education of the elderly with chronic diseases had some effect;The satisfaction of the elderly to the health guidance program of the diseases in the community management is higher,reaching 96.23%,which reflects the further effective primary medical services;In the exploration of the factors influencing the chronic disease management effect,it is found that the ability to treat chronic disease affects the satisfactory effect of chronic disease management;when the elderly had repeated attacks of their own diseases and complicated treatment,the recognition of the mode of disease diagnosis and treatment was low (62.26%).In the expert consultation,the experts agreed that MDT has a positive and important significance for the prevention and control of chronic diseases in the elderly,and proposed that we can learn from the integrated service model of multiple chronic diseases,improve the ability to treat diseases for the elderly,and build an integrated management model of multiple chronic diseases suitable for Chinese.Conclusions The elderly have many diseases co-existing and complicated diseases.The establishment of a multi-chronic disease management integration model with MDT as the core is helpful to improve the treatment ability of chronic diseases in the elderly,promote a more systematic chronic disease management model. |
|
查看全文
|
| 关闭 |
|
|
|