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[在一个健康中心引入预防活动计划]

[The introduction of a program of preventive activities at a health center].

作者信息

Richart Rufino M J, Fraile Fraile B, Muñoz Muñoz C, Segarra Sánchez J, Serra Bartual M

机构信息

CAP Virgen de la Fuensanta, Valencia.

出版信息

Aten Primaria. 1993 Mar 31;11(5):229-32.

PMID:8471704
Abstract

OBJECTIVE

To define the effect of preventive activities on the population served by a health centre; and to make a comparison between the two different shifts, on one of which a preventive programme functioned, whereas on the other it did not.

DESIGN

A descriptive study, using systematic random sampling and internal crossed auditing of the health centre's clinical records.

SETTING

An urban primary care centre.

PATIENTS AND OTHER PARTICIPANTS

Two samples of 175 patients from both morning and afternoon shifts were compared.

INTERVENTIONS

The following were studied: antitetanus and German measles vaccinations; control of arterial tension; control of cholesterolaemia; a questionnaire on tobacco and alcohol consumption.

MEASUREMENTS AND MAIN RESULTS

No differences were observed in the homogeneity of the tests carried out (DVS = 413.28, p = NS; chi squared = 9.67, p = NS). Important differences were observed in the percentages for the preventive activities carried out. These differences were in favour of the morning shift, where the tests were part of the programme, and were statistically significant for all tests. Differences were greater in the younger age-groups.

CONCLUSIONS

Introducing and integrating a programme of preventive activities into the daily activity of the consulting room, significantly improves the effectiveness of these activities. We believe therefore that the introduction of such activities in the form of a programme should be encouraged.

摘要

目的

确定预防活动对某健康中心所服务人群的影响;并比较两个不同班次,其中一个班次实施了预防计划,而另一个班次未实施。

设计

一项描述性研究,采用系统随机抽样和对健康中心临床记录的内部交叉审核。

地点

一个城市初级保健中心。

患者及其他参与者

比较了上午和下午班次各175名患者的两个样本。

干预措施

研究了以下内容:破伤风和德国麻疹疫苗接种;动脉血压控制;胆固醇血症控制;一份关于烟草和酒精消费的问卷。

测量指标及主要结果

在所进行检测的同质性方面未观察到差异(DVS = 413.28,p = 无统计学意义;卡方 = 9.67,p = 无统计学意义)。在所开展的预防活动的百分比方面观察到了重要差异。这些差异有利于上午班次,在该班次检测是计划的一部分,并且对所有检测而言差异具有统计学意义。在较年轻年龄组中差异更大。

结论

将预防活动计划引入并整合到诊室的日常活动中,可显著提高这些活动的有效性。因此,我们认为应以计划的形式鼓励引入此类活动。

相似文献

1
[The introduction of a program of preventive activities at a health center].[在一个健康中心引入预防活动计划]
Aten Primaria. 1993 Mar 31;11(5):229-32.
2
[Compliance with preventive activities at a primary care center].
Aten Primaria. 1994 Jan;13(1):39-41.
3
[The conduct stemming from the application of a program of preventive activities].
Aten Primaria. 1992 Jun 15;10(1):539-42.
4
[Practice of preventive activities in primary care and objectives of the 1993-1995 Health Plan of Catalonia].[加泰罗尼亚初级保健中的预防活动实践及1993 - 1995年健康计划目标]
Aten Primaria. 1998 Oct 15;22(6):334-9.
5
[The results of the introduction of a protocol of preventive activities in a primary care center].[在初级保健中心引入预防活动方案的结果]
Aten Primaria. 1991 Apr;8(4):304-6, 308-9.
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[Analysis for different age groups of the coverage of the preventive measures and health publicity programme].[不同年龄组预防措施及健康宣传项目覆盖率分析]
Aten Primaria. 1993 Sep 30;12(5):269, 271-2.
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[Evaluation of the program for preventive measures and health promotion for adults in a health service area].[对某健康服务区成人预防措施与健康促进项目的评估]
Aten Primaria. 1993 Dec;12(10):637-45.
8
[An evaluation of the infant program at a health center].[对某健康中心婴儿项目的评估]
Aten Primaria. 1993 May 15;11(8):424-6.
9
Application of a preventive programme in the Spanish primary health care system.一项预防计划在西班牙初级卫生保健系统中的应用。
Fam Pract. 1993 Sep;10(3):320-2. doi: 10.1093/fampra/10.3.320.
10
[Vaccine coverage after integration of a vaccination program in a health center].[健康中心实施疫苗接种计划后的疫苗接种覆盖率]
Aten Primaria. 1994 Jun 15;14(1):538-41.