王春花+蒋花

摘 要 目的：探讨开展老年人中医适宜技术小班化学习的效果。方法：2014年4月—12月从社区选取老年人76例，分为观察组37例和对照组39例，观察组开展中医适宜技术小班化学习，对照组开展团队常规中医适宜技术健康宣教指导，8个月后比较两组干预前后对中医适宜技术的知晓率、利用率及中医适宜技术服务指导的满意度。结果：干预后，观察组对中医适宜技术知识的知晓情况和利用情况以及对中医服务指导满意度都较对照组显著提升（P<0.05）。结论：社区老年人中医适宜技术小班化的学习模式有助于提升中医药在社区的运用效果。

关键词 中医适宜技术 小班化学习 效果分析 老年人

中图分类号：R197 文献标志码：A 文章编号：1006-1533（2016）14-0055-03

Analysis the effect of the elderly people learning the appropriate technology of traditional Chinese medicine in small class

WANG Chunhua， JIANG Hua

（Xidu Community Health Service Center of Fengxian District， Shanghai 201401， China）

ABSTRACT Objective： To study the effect of the elderly people learning the appropriate technology of traditional Chinese medicine in a small class. Methods： From April to December， 2014， 76 people were selected in the community and divided into an observation group with 37 cases and a control group with 39 cases. The observation group learned the appropriate technology of traditional Chinese medicine in the small class， and the control group was given the guidance of health education of traditional Chinese medicine by the team. After 8 months， the awareness rate， utilization rate of appropriate technology of TCM and satisfaction of the appropriate technical service guidance of TCM were compared between the two groups. Results： After the intervention， the appropriate technology awareness rate of traditional Chinese medicine， utilization rate of the appropriate technology of traditional Chinese medicine and satisfaction with the guidance of traditional Chinese medicine service were all significantly improved in the observation group than those in the control group（P<0.05）. Conclusion： The mode of the community elderly people learning the appropriate technology of traditional Chinese medicine in the small class helps to improve the effective implementation of traditional Chinese medicine in the community.

KEY WORDS appropriate technology of traditional Chinese medicine； small class study； effect analysis； elderly people

近年来，国家中医药管理局大力推广中医适宜技术[1]在社区卫生服务机构中的应用，深受社区居民欢迎。同时，社会各界媒体也通过开播中医养生等节目，加大了中医药适宜技术在疾病防治、养生保健优势的宣传力度。但因社区居民文化程度和接受能力不同，对中医适宜技术的认识和需求不同[2]，有的一知半解，有的盲目效仿，存在一定误区，这样既不利于居民的身心健康，也阻碍了中医适宜技术的发展。

本社区卫生服务中心结合社区居民特点和需求，于2014年4月—12月，开展社区老年人中医适宜技术小班化为主的学习模式，教会居民一些最基本的中医药技术，从而引导社区老年人正确采用中医药防治方法进行自我保健和养生，让中医适宜技术在社区得到更好的发挥，现报道如下。

1 资料和方法

1.1 研究对象