基于格林模式的三维健康教育模式在老年慢性病患者安全用药中的应用

魏黎 周蓉 包蓓 刘厚娟 朱华芳

摘 要 目的：探索基于格林（Greens）模式的醫院-社区-家庭三维健康教育模式在老年慢性病患者安全用药中的应用。方法：选取2019年1月至2021年1月在上海黄浦区豫园街道社区卫生服务中心接受健康教育的老年慢性病患者92例为研究对象。按照随机数字表法分为格林组与对照组，每组46例。对照组有女性20例，男性26例；年龄为60～81岁，平均年龄为（70.11±8.73）岁；病程为4～16年，平均病程为（8.35±1.63）年。格林组有女性19例，男性27例；年龄为62～83岁，平均年龄为（71.02±8.13）岁；病程为4～15年，平均病程为（8.48±1.43）年。对照组选择常规健康教育实施管理，格林组选择基于PRECEDE-PROCEED模式的医院-社区-家庭三维健康教育实施管理。比较两组安全用药知识、慢性病防治信念评分及用药依从性。结果：格林组安全用药知识、慢性病防治信念评分明显高于对照组，差异有统计学意义（P<0.05）；格林组用药依从率明显高于对照组，差异有统计学意义（P<0.05）。结论：基于格林模式的医院-社区-家庭三维健康教育模式可有效提高老年慢病人群安全用药知识，同时能提升患者用药依从率。

关键词 老年慢性病；格林模式；医院-社区-家庭；三维健康教育；用药安全

中图分类号：R473 文献标志码：A 文章编号：1006-1533（2021）20-0042-04

Application of three-dimensional health education mode based on Greens mode in the safe medication of elderly patients with chronic diseases

WEI Li1， ZHOU Rong2， BAO Bei1， LIU Houjuan1， ZHU Huafang1（1. General Practice Department of Yuyuan Community Health Service Center of Huangpu District， Shanghai 200001， China； 2. General Practice Department of Wuliqiao Community Health Service Center of Huangpu District， Shanghai 200001， China）

ABSTRACT Objective： To explore the application of hospital-community-family three-dimensional health education mode based on Greens mode in the safe medication of elderly patients with chronic diseases. Methods： Ninety-Two elderly patients with chronic diseases who received health education at Yuyuan Community Health Service Center of Huangpu District from January 2019 to January 2021 were selected as the research objects. According to the random number table method， they were divided into a Green group and a control group with 46 cases in each group. In the control group， there were 20 females and 26 males； the age ranged from 60 to 81 years old， with an average age of （70.11±8.73） years old； the course of disease was 4～16 years， and the average course of disease was （8.35±1.63） years.There were 19 females and 27 males in the Green group； the age ranged from 62 to 83 years old， with an average age of （71.02±8.13） years old； the course of disease was 4～15 years， and the average course of disease was （8.48±1.43） years. The control group chose regular health education and management， and the Green group chose the hospital-community-family three-dimensional health education management based on the PRECEDEPROCEED mode. The knowledge of safe medication， belief score of chronic disease prevention and treatment and medication compliance were compared between the two groups. Results： The scores of the knowledge safe medication and chronic disease prevention and treatment belief of the Green group were significantly higher than those of the control group， and the difference were statistically significant（P<0.05）； the medication compliance rate of the Green group was significantly higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion： The hospital-community-family threedimensional health education mode based on Greens mode can effectively improve the knowledge of safe medication of elderly people with chronic diseases， and at the same time can improve the medication compliance rate of patients.