|
|
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.
|
|
|
|
|
[1] |
黄佳豪,孟昉.“医养结合”养老模式的必要性、困境与对策[J].中国卫生政策研究,2014,7(6):63-68.
|
[2] |
李秀明,冯泽永,成秋娴,等.重庆市主城区老年人医养结合需求情况及影响因素研究[J].中国全科医学,2016,19(10):1199-1203.
|
[3] |
张晓杰.医养结合养老创新的逻辑、瓶颈与政策选择[J].西北人口,2016,37(1):105-111.
|
[4] |
严妮.城镇化进程中空巢老人养老模式的选择:城市社区医养结合[J].华中农业大学学报(社会科学版),2015,(4):22-28.
|
[5] |
马丽丽,陈娜,汤少梁.医养结合养老机构养老服务发展政策研究[J].医学与社会,2016,29(4):40-43.
|
[6] |
刘稳,徐昕,李士雪.基于SWOT分析的“医养结合”养老服务模式研究[J].中国卫生事业管理,2015,32(11):815-817,822.
|
[7] |
沈婉婉,鲍勇.上海市养老机构“医养结合”优化模式及对策研究[J].中华全科医学,2015,13(6):863-865,871.
|
[8] |
冯丹,冯泽永,王霞,等.对医养结合型养老机构的思考[J].医学与哲学,2015,36(4):25-28.
|
[9] |
陈俊峰,王硕.城市“医养结合”型养老存在的问题及其解决途径——以合肥市为例[J].城市问题,2016,(6):92-97.
|
[10] |
刘清发,孙瑞玲.嵌入性视角下的医养结合养老模式初探[J].西北人口,2014,35(6):94-97.
|
[11] |
孟颖颖.我国“医养结合”养老模式发展的难点及解决策略[J].经济纵横,2016,(7):98-102.
|
[12] |
高小芬,于卫华.医养结合老年科患者自理能力与分级护理、护理时间的相关性研究[J].中国护理管理,2014,14(3):249-253.
|
[13] |
刘诗洋,刘梦,桂玥,等.北京市医养结合养老机构的发展问题与对策[J].中国全科医学,2016,19(33):4034-4038.
|
[14] |
邓诺,蒋亮,卢建华.老年照护医养结合实证研究[J].南京医科大学学报(社会科学版),2015,15(4):274-278.
|
[15] |
倪语初,王长青,陈娜.老龄化背景下我国医养结合机构养老模式研究[J].医学与社会,2016,29(5):1-4.
|
[16] |
李秀明,冯泽永,王霞,等.部分二级医院开展医养结合存在的问题及对策分析[J].中国卫生事业管理,2016,33(1):16-18.
|
[17] |
唐志红,于卫华,饶晓岚,等.医养结合-四元联动整合照护模型的实践[J].中华护理杂志,2017,52(1):40-43.
|
[18] |
高小芬,于卫华.采用Barthel指数评定表对医养结合老年患者护理级别再分度研究[J].护理学杂志,2014,29(4):1-4.
|
|
|
|