Construction and practice of SOP management for patients with chronic diseases based on medicine and prevention integration
Objective To explore the standard operating procedure(SOP)construction and practice effect on patients with chronic diseases under the integration of medical treatment and prevention.Methods The outpatient visits and follow-up of 413 patients with chronic diseases in Dongguan Chang'an Community Health Service Center from October 2022 to March 2023 were retrospectively analyzed,and the 413 patients were divided into a routine group(263 cases)and a standardized group(150 cases)according to the management methods.In the routine group,there were 178 males and 85 females,aged(45.69±7.24)years,they had been included in the community chronic disease management for(4.57±1.65)years,and there were 152 cases of hypertension,74 cases of type 2 diabetes mellitus(T2DM),and 37 cases of hypertension complicated with T2DM.In the standardized group,there were 89 males and 61 females,aged(44.28±8.65)years,they had been included in the community chronic disease management for(4.39±1.43)years,and there were 95 cases of hypertension,37 cases of T2DM,and 18 cases of hypertension complicated with T2DM.The routine group adopted the routine management,and the standardized group constructed and implemented the general practice diagnosis and follow-up SOP under the integration of medical treatment and prevention on the basis of the routine management.The writing qualities of outpatient medical records and follow-up forms,duration of follow-up,medication compliance,patient satisfaction,patient awareness,and satisfaction of medical staff were compared between the two groups.x2test and independent sample t test were used.Results The writing qualities of outpatient medical records and follow-up forms in the standardized group were higher than those in the routine group[(92.31±5.89)points vs.(85.23±4.68)points,(93.54±6.24)points vs.(87.27±5.67)points],with statistically significant differences(both P＜0.001).The duration of follow-up and medication compliance of the standardized group were better than those of the routine group,with statistically significant differences(both P＜0.05).The patient satisfaction,patient awareness,and satisfaction of medical staff in the standardized group were higher than those in the routine group[98.00％(147/150)vs.84.79％(223/263),98.66％(148/150)vs.84.79％(223/263),95.00％(19/20)vs.71.73％(99/138)],with statistically significant differences(all P＜0.05).Conclusion The SOP of chronic disease management under the integration of medicine and prevention can effectively improve the diagnosis and treatment ability of general practice of community health service center,harmonize the relationship between doctors and patients,improve the patients'self-management compliance,improve the work efficiency,improve the professional identity of medical staff,and improve the patients'service experience.
General practice diagnosis and treatmentFollow up of chronic diseasesIntegration of medicine and preventionStandard operating procedureConstructionCommunity health service center
万方数据
维普
