姜天娇，　刘丽娟，　孙金海



干部病房老年慢性病管理质量与行为生活方式关系研究

姜天娇，刘丽娟，孙金海

【摘要】目的了解慢性病管理质量对老年慢性病患者健康行为生活方式的影响。方法采用患者慢性病管理质量评价量表，对3所三级甲等医院干部病房250名60岁及以上的老年慢性病患者进行随机抽样，并进行问卷调查。结果近半年内45人患有1种慢性病，63人患有2种慢性病，113人患有3种及以上慢性病。是否经常吃脂肪含量低的食物与递送系统/诊疗设计、解决问题/情景两个维度具有相关性；是否知道自己应达到的标准体质量与我的参与、目标设定/量身定做、追踪/协调3个维度及总分具有相关性；过去半年内是否保持理想体质量与追踪/协调维度有相关性；是否每天吸烟与我的参与、目标设定/量身定做、解决问题/情景3个维度以及总分有相关性；是否经常饮酒与我的参与、递送系统/诊疗设计、目标设定/量身定做3了纬度以及总分有相关性。结论干部病房老年慢性病管理质量与患者的饮食、体质量、吸烟、饮酒等行为生活方式有关。

【关键词】老年人；慢性病管理质量；行为生活方式

Study on the Relationship of the Chronic Disease Management Quality with the Behavior and the Life Style of the Elderly in Cadre Ward

JIANG Tianjiao, LIU Lijiuan, SUN Jinhai.TheSecondMilitaryMedicalUniversity,Shanghai, 200433,China

【Abstract】ObjectivesTo explore the effect of the chronic disease management quality on the behavior and the life style of the elderly in cadre ward.Methods250 people aged 60 years old or above were chosen randomly in cadre ward of 3 third-level grade-A hospitals, and they were surveyed by Chronic Disease Management Quality Assessment Scale. ResultsEating low fat food was associated with delivery system/practice design and problem solving/contextual of the PACIC. Knowing their standard weight was associated with patient activation, goal setting/tailoring and follow-up/coordination of the PACIC. Keeping the standard weight in the past half year was associated with follow-up/coordination of the PACIC. Smoking was associated with patient activation, goal setting/tailoring, problem solving/contextual of the PACIC and the total score. Drinking was associated with patient activation, delivery system/practice design, goal setting/tailoring of the PACIC and the total score. ConclusionsThe chronic disease management quality of the elderly in cadre ward was related with health eating, keeping standard weight, smoking and drinking.

【Key words】 The elderly;Quality of chronic disease management;Behavior and life style

慢性病已经成为引发世界健康灾难和医疗危机主要根源之一[1]。据2008年我国卫生服务调查研究显示，我国慢性病人数已超过2.7亿，82.5%的居民死于慢性病；预计2020年老年人口将达到2.5亿,2050年将超过4亿[2]。慢性病是影响老年人健康和生命质量的重要原因。据统计,2008年我国60岁以上老年人慢性病患病率为59.5%[3]。……