本文发表在 rolia.net 枫下论坛随着社会经济的快速发展，人口老龄化程度的加重，以高血压、糖尿病为代表的慢性非传染性疾病越来越严重的危害着我国人民的健康，而目前所采用的几种社区慢性病管理模式都有自身的特点和优势。本课题拟通过最常见的慢性病—高血压、2型糖尿病，对宁夏银川市社区慢病管理现状进行调查研究，并针对两种疾病的研究对象各随机分为三组，分别采用社区-医院一体化管理模式、分级分层管理模式、自我管理模式进行不同管理模式的干预，通过干预后各研究组患者对疾病的认知程度、自我管理水平、心理状况及疾病指标的变化来比较不同管理模式的应用效果。通过对几种管理模式的效果进行分析、整合后，拟构建系统的、规范的、完整的社区慢性病规范化管理模式，并具体的制定及阐述社区慢性病规范化管理方法的内涵、内容、方法以及考核指标，通过在社区中的应用及效果分析，判断其实用价值，为探索适合我国国情的社区慢病管理模式提供理论上的支撑。


Abstract

With the fast growth, population growing older, noninfectious chronic diseases, etc., the people in China face adverse impact more significantly. The means and methods adopted by the communities on noninfectious chronic disease has pros and cons respectively.

This article uses the examples of high blood pressure and No.2 diabeties to research the means and methods by the communities in Yichuan, Ninxia provice. Sample patients were devided into three groups. Group 1 was managed in a community-hospital care mode; Gruop 2 was managed by the ???? (分级分层管理模式, I don't understand this.); while Gruop 3 was managed by 自我管理模式 (I don't unerstand this either). The objective was to find out the differences in recognition, self-management, emotional status and medical indexes among all three groups. Through the comparision of collected data, we processed and summerized all qualified data and established our model for an integrated, standard, complete management mode for noninfectious chronic diseases. Detailed processes, procedures ,standards and measurement are explained in this article.

We analyzed the applications and effectiveness of our model, justify its values to the communities. Our result will provide theorical support to the community management modes for noninfectious chronic disease, specific to Chinese population.更多精彩文章及讨论，请光临枫下论坛 rolia.net