[1]颉亚男,王攀,张亚南.对老年慢性病患者健康管理需求的调查及“医养结合”健康管理服务的应用[J].西部中医药,2026,39(03):60-64.[doi:10.12174/j.issn.2096-9600.2026.03.13]
　JIE Ya?nan,WANG Pan,ZHANG Ya?nan.An Investigation into Health Management Needs of Elderly Patients with Chronic Diseases and Application of "Integration of Medical and Nursing" Health Management Services[J].Western Journal of Traditional Chinese Medicine,2026,39(03):60-64.[doi:10.12174/j.issn.2096-9600.2026.03.13]
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对老年慢性病患者健康管理需求的调查及“医养结合”健康管理服务的应用()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年03期
页码:
60-64
栏目:
调查分析
出版日期:
2026-03-15

文章信息/Info

Title:
An Investigation into Health Management Needs of Elderly Patients with Chronic Diseases and Application of "Integration of Medical and Nursing" Health Management Services
作者:
颉亚男, 王攀, 张亚南
衡水市人民医院，河北 衡水 053000
Author(s):
JIE Ya?nan, WANG Pan, ZHANG Ya?nan
Hengshui People’s Hospital, Hengshui 053000, China
关键词:
慢性病; 影响因素; 生活质量; “医养结合”中西医结合健康管理; 老年
Keywords:
chronic diseases; influencing factors; quality of life; "integration of medication and nursing" integrated Chinese and Western medicine health management; elderly
分类号:
R161.7
DOI:
10.12174/j.issn.2096-9600.2026.03.13
文献标志码:
B
摘要:
目的探索老年慢性病患者的健康管理需求及“医养结合”中西医健康管理服务的应用效果。 方法自制调查问卷，随机抽取河北省衡水市人民医院周边5个社区的455例老年慢性病患者，调查其慢性病健康管理服务需求；结合临床资料分析服务接受度的影响因素；对接受“医养结合”中西医健康管理服务的患者实施为期1年的干预，对比其与接受常规跟踪随访患者在不同时间点的生活质量水平。 结果455例老年慢性病患者健康管理服务需求显著，具体表现为：健康指导方面，90.11%（410/455）需自我监测指导，88.13%（401/455）需疾病知识指导，81.10%（369/455）需运动指导；健康监测方面，92.09%（419/455）希望社区提供义诊服务，87.91%（400/455）需血压、血糖监测服务；疾病护理方面，91.21%（415/455）需安全用药知识，90.11%（410/455）需康复护理知识；90.11%（410/455）倾向选择中西医医养结合服务类型。单因素分析显示，“医养结合”中西医健康管理服务接受度的影响因素包括：年龄＞70岁、居住状态为与老伴自住或独居、每月医疗保健支出＞500元、医疗保险类型为城镇职工、合并2种及以上慢性病、日常生活能力评分低、养生重视程度为“非常重视”这类患者的中医健康管理知晓度高。干预3、6、12个月时，接受组的生活质量评分均高于未接受组（P＜0.001）。 结论老年慢性病患者对健康管理的需求较高，其中年龄较大、独居/与老伴自住、日常生活功能降低、健康养生重视程度高的患者，对“医养结合”中西医结合健康管理服务的接受度更高。
Abstract:
ObjectiveTo explore health management needs of elderly patients with chronic diseases and application effects of "integration of medication and nursing" health management services. MethodsAll 455 elderly patients with chronic diseases from five communities around Hengshui People’s Hospital were randomly chosen to investigate their health management needs of chronic diseases using a selfmade questionnaire; the factors influencing service acceptance were analyzed based on clinical data; a one-year intervention was implemented for patients receiving "integration of medication and nursing" integrated Chinese and Western medicine health management, to compare quality of life of patients with regular follow-up at different times. ResultsThe demand for health management services was significantly higher among 455 elderly patients with chronic diseases, specifically characterized by: the aspect of health guidance, 90.11% (410/455) required self-monitoring guidance, 88.13% (401/455) needed disease knowledge guidance, and 81.10% (369/455) needed exercise instructions; the aspect of health monitoring, 92.09% (419/455) hoped that the community could provide free medical services, 87.91%(400/455) required blood pressure and blood sugar monitoring services; the aspect of disease care, 91.21% (415/455) required the knowledge of safe medication, 90.11% (410/455) demanded the knowledge of rehabilitation nursing; 90.11% (410/455) tended to choose the type of integrated Chinese and Western medicine healthcare and nursing services. Univariate analysis revealed that the factors influencing the acceptance of "integration of medication and nursing" integrated Chinese and Western medicine health management services contained: the age>70 years, the residence status is living with the spouse or living alone, monthly healthcare spending>500 Yuan, medical insurance type is urban workers, with two or more chronic disease, low ADL socres, great emphasis on health care, and high awareness of TCM health management. After 3, 6 and 12 months of intervention, the scores of quality of life of the acceptance group were higher than these of unaccepted group (P<0.001). ConclusionSenior patients with chronic diseases have a high demand for health management, especially the elder one, living alone, or living with their spouses, ADL decline, with great emphasis on health care, presenting higher acceptance of "integration of medication and nursing" integrated Chinese and Western medicine health management.

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备注/Memo

备注/Memo:
山西省基础研究计划项目（202103021223441）。颉亚男（1990—），女，主管护师。研究方向：内科常见病的临床护理。
更新日期/Last Update: 2026-03-15