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目的:探讨和研究健康诊疗管理跟踪对消化性溃疡患者复发率的影响。方法:研究对象选取为浙江省台州市黄岩区澄江街道卫生院2010年1月~2013年1月之间80例治愈出院的消化性溃疡患者,采用随机分组方式分为两组,对照组40例患者采取自我管理模式,观察组40例患者则实施健康诊疗管理跟踪干预措施,两组患者的观察时间均为6个月,对两组患者干预后的遵医行为、健康促进生活方式量表评分以及溃疡复发率进行统计比较。结果:干预后,观察组的遵医行为评定显著优于对照组(P<0.05);健康促进生活方式量表评分结果显示,观察组评分为(2.8±0.4)分,显著高于对照组的(2.1±0.3)分,差异具有统计学意义(P<0.05);复发率比较显示,观察组复发率为15.0%,显著低于对照组的45.0%,差异具有统计学意义(P<0.05)。结论:健康诊疗管理跟踪干预能够有效提高患者的遵医行为,改善生活质量,减少复发率。
Objective: To investigate and study the impact of health care management follow-up on the recurrence rate of patients with peptic ulcer. Methods: The subjects were selected from 80 patients with peptic ulcer who were discharged from hospital in Chengjiang Street Health Center of Huangyan District, Taizhou City, Zhejiang Province from January 2010 to January 2013. The patients were divided into two groups randomly, 40 cases in control group Patients in self-management mode, the observation group of 40 patients were implemented health care management and follow-up interventions, both groups of patients were observed for 6 months, the two groups of patients compliance behavior, health promotion lifestyle scale score And ulcer recurrence rate for statistical comparison. Results: After the intervention, the observing group’s compliance behavior was significantly better than that of the control group (P <0.05). The health promotion lifestyle scale score showed that the score of the observation group was (2.8 ± 0.4) points, which was significantly higher than that of the control group (2.1 ± 0.3), the difference was statistically significant (P <0.05). The recurrence rate showed that the recurrence rate was 15.0% in the observation group, which was significantly lower than 45.0% in the control group (P <0.05) . Conclusion: Follow-up of health care management and follow-up intervention can effectively improve the compliance of patients, improve the quality of life and reduce the recurrence rate.