Richart Rufino M J, Fraile Fraile B, Muñoz Muñoz C, Segarra Sánchez J, Serra Bartual M
CAP Virgen de la Fuensanta, Valencia.
Aten Primaria. 1993 Mar 31;11(5):229-32.
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.
A descriptive study, using systematic random sampling and internal crossed auditing of the health centre's clinical records.
An urban primary care centre.
Two samples of 175 patients from both morning and afternoon shifts were compared.
The following were studied: antitetanus and German measles vaccinations; control of arterial tension; control of cholesterolaemia; a questionnaire on tobacco and alcohol consumption.
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.
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.
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。
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。
一个城市初级保健中心。
比较了上午和下午班次各175名患者的两个样本。
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。
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。
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。