醫(yī)養(yǎng)結(jié)合養(yǎng)老模式在老年冠心病患者中的應(yīng)用效果

姜秀芳 王浩 蘇會(huì)芝 喬義嶺 楊曉麗 張焱

[摘要]目的 探討醫(yī)養(yǎng)結(jié)合養(yǎng)老模式在老年冠心病患者中的應(yīng)用價(jià)值。方法 選取2015年1月～2016年12月我院收治的80例老年冠心病患者作為研究對(duì)象，按照隨機(jī)數(shù)字法將其分為觀察組與對(duì)照組，每組各40例。對(duì)照組患者實(shí)施常規(guī)養(yǎng)老模式，觀察組患者實(shí)施醫(yī)養(yǎng)結(jié)合養(yǎng)老模式。比較兩組患者的單月生活費(fèi)用及醫(yī)療費(fèi)用，比較兩組隨訪期間出現(xiàn)的內(nèi)科相關(guān)疾病、死亡率及嚴(yán)重并發(fā)癥發(fā)生率。結(jié)果 觀察組患者的單月生活費(fèi)用及醫(yī)療費(fèi)用均顯著少于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者的高血壓、慢性阻塞性肺疾病、糖尿病及高脂血癥發(fā)生率顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。隨訪1年，觀察組患者的死亡率及嚴(yán)重并發(fā)癥發(fā)生率均顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 醫(yī)養(yǎng)結(jié)合養(yǎng)老模式正逐步成為一種新型有效的醫(yī)療養(yǎng)老模式，可有效減少患者的生活及醫(yī)療費(fèi)用，減少并發(fā)癥，延長(zhǎng)患者的生存時(shí)間。

[關(guān)鍵詞]老年；冠心病；養(yǎng)老模式；醫(yī)養(yǎng)結(jié)合模式

[中圖分類號(hào)] R197 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）4（c）-0152-03

Effect of pension pattern of integrated treatment and convalesce in elderly patients with coronary heart disease

JIANG Xiu-fang1 WANG Hao2 SU Hui-zhi2 QIAO Yi-ling2 YANG Xiao-li2 ZHANG Yan3

1.Department of ENT，Stomatology in Special Care Hospital，Hebei Province，Shijiazhuang 050051，China；2.Medical Service Management Office，Stomatology in Special Care Hospital，Hebei Province，Shijiazhuang 050051，China；3.Department of Rehabilitation Medicine，Stomatology in Special Care Hospital，Hebei Province，Shijiazhuang 050051，China

[Abstract]Objective To investigate the clinical value of pension pattern of integrated treatment and convalesce in elderly patients with coronary heart disease.Methods A total of 80 elderly patients with coronary heart disease admitted in our hospital from January 2015 to December 2016 were selected as subjects and randomly divided into observation group and control group according to randow number table method，40 cases in each group.The patients in the control group were underwent routine pension pattern，the observation group were implemented with pattern of integrated treatment and convalesce.The monthly living expenses and medical expenses were compared between the two groups.The incidence of medical related diseases，mortality and serious complications during the follow up period between the two groups were compared.Results The monthly living expenses and medical expenses in the observation group were significantly lower than those in the control group，the differences were statistically significant （P<0.05）.The incidence of hypertension，chronic obstructive pulmonary disease，diabetes and hyperlipidemia in the observation group were significantly lower than those in the control group，the differences were statistically significant （P<0.05）.After 1 year follow-up，the rates of death and serious complication were significantly lower than control group，the differences were statistically significant （P<0.05）.Conclusion The pension pattern of integrated treatment and convalesce is gradually new and effective mode medical care for the elderly，which can effectively reduce the living and medical expenses of patients and reduce the complications and prolong the survival time.

[Key words]Elderly；Coronary heart disease；Pension pattern；Pattern of integrated treatment and convalesce

隨著我國(guó)人口老齡化趨勢(shì)的加重以及年輕人社會(huì)生活壓力的增加，越來(lái)越多的老年人群選擇養(yǎng)老機(jī)構(gòu)度過(guò)余生[1]，其中存在生活自理能力者尚能自行獲得有效的醫(yī)療資源，而完全失去或部分失去生活自理能力者，其獲得醫(yī)療服務(wù)的能力十分有限[2]。尤其是合并多種內(nèi)科疾病者，其生活能力顯著降低，是急需社會(huì)關(guān)注的弱勢(shì)人群[3]。因此，其對(duì)社會(huì)照護(hù)的需求同時(shí)顯著升高，但目前社會(huì)上的長(zhǎng)期照護(hù)養(yǎng)老機(jī)構(gòu)十分缺乏[4]，尤其是免費(fèi)有效的醫(yī)療養(yǎng)護(hù)相結(jié)合的模式明顯不足，僅通過(guò)健康講座、贈(zèng)藥、健康檔案建立等對(duì)老年冠心病患者進(jìn)行干預(yù)[5]。而目前多數(shù)的養(yǎng)老機(jī)構(gòu)越來(lái)越意識(shí)到醫(yī)養(yǎng)結(jié)合模式的重要性[6]。鑒于養(yǎng)老機(jī)構(gòu)的規(guī)模與條件限制，以及正規(guī)……