《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (05): 475-477.

• 论文 • 上一篇    下一篇

社区慢性疼痛性疾病管理

曾宪明，漆海如，刘宝，刘烈斌，赵家安，陈亚影，卓春芳   

  1. 广东省中山火炬开发区医院，广东中山市528437。
  • 收稿日期:2012-10-11 修回日期:2012-12-31 出版日期:2013-05-25 发布日期:2013-05-25
  • 通讯作者: 漆海如

Chronic Pain Disease Management in Community

ZENG Xian-ming, QI Hai-ru, LIU Bao, et al.   

  1. Zhongshan Torch Development District Hospital, Zhongshan 528437, Guangdong, China
  • Received:2012-10-11 Revised:2012-12-31 Published:2013-05-25 Online:2013-05-25

PDF (PC)

被引次数

5

摘要： 目的探索建立社区卫生服务与区域医院的医疗服务对慢性疼痛性疾病管理的新模式。方法对中山市火炬开发区濠头社区常住居民的慢性疼痛性疾病行关键技术集成应用前后进行流行病学调查。结果慢性疼痛性疾病的患病率为51.83%，其中男性为47.06%，女性为57.32%；关键技术集成应用后疗效的优良率从30.22%提高到67.08%，医疗费用下降了36.16%，病休天数由平均32.42 d 减少至平均15.25 d(均P<0.001)。结论具有网络终端、集规范化诊治、远程会诊、健康教育为一体的社区卫生服务与区域医院对慢性疼痛疾病的共同管理模式能提高社区慢性疼痛管理效果。

关键词: 慢性疼痛, 社区卫生服务, 双向转诊, 健康教育

Abstract: Objective To evaluate a model of management for chronic pain disease coordinated community health services and district hospital. Methods The epidemiology of chronic pain disease was surveyed in Haotao community of Zhongshan, before and after the establishment of the model of management. Results The prevalence rate of chronic pain disease was 51.83%, in which it was 47.06% in men, and 57.32% in women. After the establishment of the model, the efficacy of good to excellent improved from 30.22% to 67.08%, the cost for medicine reduced 36.16%, time for rest reduced from 32.42 d to 15.25 d (P<0.05). Conclusion The model of management that coordinated community health services and district hospital, including demonstration diagnosis and treatment through internet, tele-consultations and health education, is effective on chronic pain disease.

Key words: chronic pain, community health services, dual referral, health education