| 葛承辉.高危儿社区全程综合保健管理模式研究[J].浙江中西医结合杂志,2014,24(8): |
| 高危儿社区全程综合保健管理模式研究 |
| Study on comprehensiveShealthSmanagementSpattern of communitySthroughout theShigh risk child GE Chenghui,YANG Qin,ZHU Xuhong,et al. The Changqing Chaoming Street Community Health Service Center under the Hangzhou City,Hangzhou(310003),China |
| 投稿时间：2014-03-12 修订日期：2014-06-03 |
| DOI： |
| 中文关键词: 高危儿 社区保健 综合管理 生长发育 |
| 英文关键词:high risk child community health integrated management growing development |
| 基金项目:杭州市下城区医药卫生科研计划项目(No:A201103) |
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| 中文摘要: |
| 【】目的 探讨高危儿社区全程综合保健管理模式对促进高危儿体格与神经发育、减少预后不良发生率的作用。方法 在区妇幼保健院设立高危儿保健示范基地,省儿童医院专家定期坐诊开展评估与制订治疗干预方案,辖区6家社区卫生服务中心儿保门诊负责筛查、陪同转诊及返回社区后全程专案保健管理。结果 1岁时干预组与对照组Gesell各能区的比较均无统计学差异(P＞0.05),未干预组Gesell各能区分值均低于干预组和对照组,差异有显著统计学意义(P＜0.001)；干预组身长高于未干预组,差异有显著统计学意义(P＜0.001)；干预组预后不良发生率(4.5%)显著低于未干预组高危儿(16.3%),差异有统计学意义(P＜0.05)。结论 高危儿社区全程综合保健管理模式有助于促进高危儿体格与神经发育、减少预后不良发生。 |
| 英文摘要: |
| Objective: To explore high risk childScommunityScomprehensivecare management modelSto promote theSreduction ofSthe incidence ofSadverse prognosis,Srole in the development of theShigh risk childSphysique andSnerve.Methods: The establishment ofShigh risk childScareSdemonstration baseSin the DistrictSMaternal and child health hospital,Sthe provincial children"s HospitalSexpertsSto carry outSregular clinicalSassessment andStreatmentSinterventions,SDistrictS6 community health service centers inSoutpatient department,accompanied bySresponsible forSscreeningSreferralSand returnSafterSthe wholeSprojectScommunityShealth care management.Results: At the age of 1SinterventionSgroup and control group,Seach area of GesellSshowed noSstatistical differenceS(P > 0.05),non intervention groupSGesellScan distinguish betweenvalues were lower inSthe intervention group and the control group,Sthe difference was statistically significantS(P < 0.001);Sthe intervention groupSwereShigher than theuntreated group,Sthe difference was statistically significant(P < 0.001);Sthe intervention groupSthe incidenceSof poor prognosisS(4.5%)Swas significantly lower than that ofuntreated groupSof high risk childS(16.3%),Sthe difference was statistically significantS(P < 0.05).Conclusion: CommunityScomprehensiveScare management model of high risk childScontributes toSpoor prognosis,SreduceSthe occurrence and development ofShigh risk childSphysique andSnerve. |
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