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目的评价社区综合干预防治农村老年人慢性非癌痛(CNCP)的应用效果。方法辖区内7个社区60岁以上的CNCP社区筛查后面部疼痛评分≥1分农村老年人200例,随机分为对照组和研究组,每组100例。对照组不采取任何干预措施,研究组进行规范综合干预。干预后2年对两组进行评价对比。结果研究组疾病知晓率、治疗率、疼痛改善率、月投入医疗费用等指标与对照组比较差异均有统计学意义(P<0.05)。结论尽早进行社区综合干预能有效预防老年人CNCP带来各种不良影响及并发症,经济投入少,且能达到满意的效果,是提高老年人晚年的生活质量,减少就医成本,和谐家庭关系,提升生存质量一种有效经济的方法 ,值得推广。
Objective To evaluate the effect of community integrated intervention on the prevention and treatment of chronic non-cancer pain (CNCP) in rural elderly. Methods CNCP community over 7 years old in 7 communities over the age of 60 screened facial pain score ≥ 1 points in rural elderly 200 cases were randomly divided into control group and study group, 100 cases in each group. The control group did not take any interventions, the research group to regulate the comprehensive intervention. 2 years after the intervention evaluation and comparison of the two groups. Results In the study group, there were significant differences in the rate of disease awareness, treatment, pain improvement, and monthly medical expenses as compared with the control group (P <0.05). Conclusion Comprehensive community intervention as early as possible can effectively prevent CNCP in the elderly from causing various adverse effects and complications, with less economic investment and satisfactory results. It is to improve elderly people’s quality of life in later life, reduce the cost of seeking medical treatment, and harmonize family relationships. An effective and economical way to improve the quality of life is worth promoting.