Application effect of hospital-community-family linkage model in community coronary heart disease management

XUAN Ling; TANG Bi; LI Miaonan; XIE Caixia; WANG Lichao; WANG Cuixiang

doi:10.16766/j.cnki.issn.1674-4152.003720

Volume 22 Issue 10

Oct. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(10): 1722-1726

XUAN Ling, TANG Bi, LI Miaonan, XIE Caixia, WANG Lichao, WANG Cuixiang. Application effect of hospital-community-family linkage model in community coronary heart disease management[J]. Chinese Journal of General Practice, 2024, 22(10): 1722-1726. doi: 10.16766/j.cnki.issn.1674-4152.003720

Citation:

XUAN Ling, TANG Bi, LI Miaonan, XIE Caixia, WANG Lichao, WANG Cuixiang. Application effect of hospital-community-family linkage model in community coronary heart disease management[J]. Chinese Journal of General Practice, 2024, 22(10): 1722-1726. doi: 10.16766/j.cnki.issn.1674-4152.003720

Citation:

XUAN Ling, TANG Bi, LI Miaonan, XIE Caixia, WANG Lichao, WANG Cuixiang. Application effect of hospital-community-family linkage model in community coronary heart disease management[J]. Chinese Journal of General Practice, 2024, 22(10): 1722-1726. doi: 10.16766/j.cnki.issn.1674-4152.003720

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Application effect of hospital-community-family linkage model in community coronary heart disease management

doi: 10.16766/j.cnki.issn.1674-4152.003720

1.
Department of Cardiology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

SK2021A0433

2022AH051477

202304295107020079

BB22B046

Received Date: 2024-05-06
Available Online: 2024-12-28

Abstract

Abstract

Objective To implement a standardized management model of coronary heart disease (CHD) patients in the community, utilizing a third-class hospital-community-family linkage approach, and to analyze the changes in outcomes before and after this three-mode management. Methods A total of 480 patients with coronary heart disease from July to November 2022 in four communities in Bengbu City were selected. Cardiovascular specialists from the First Affiliated Hospital of Bengbu Medical University, in conjunction with community healthcare providers and patient ' s family, managed the patients. The main evaluation indicators included changes in risk factors of CHD, awareness rates of CHD, utilization rates of secondary prevention drugs, annual hospitalization annual number of hospitalization and scores of Seattle angina questionnaire (SAQ) before and after management. Results The blood pressure, blood glucose, blood lipid, body mass index, smoking rate of patients with coronary heart disease decreased and the number of exercise increased after combined management (P < 0.05). The awareness rate of CHD was increased (59.79% vs. 95.63%, χ²=177.900, P < 0.05). And the utilization rates of antiplatelet drugs (90.21% vs. 96.88%, χ²=17.656, P < 0.05), lipid-regulating drugs (83.13% vs. 92.92%, χ²=21.823, P < 0.05), β-blockers (51.46% vs. 85.83%, χ²=131.761, P < 0.05), and angiotensin-converting enzyme inhibitors/angiotensin receptor blockers/sacubitril-valsartan (52.29% vs. 87.29%, χ²=139.450, P < 0.05) increased. The number of annual hospitalizations decreased, and SAQ scores improved (P < 0.05). Conclusion The standardized management mode of coronary heart disease linking tertiary hospitals, communities, and families improved control of risk factors of CHD patients, reduced attack of angina pectoris, enhanced quality of life, decreased rehospitalization, and elevated the prevention and treatment capabilities of community doctors. This model is worthy promoting for managing other chronic diseases.
- Coronary heart disease,
- Chronic disease,
- Joint management,
- Community sanitation service

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References(21)

References

[1]	ROTH A G, ABATE D, ABATE H K, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017[J]. Lancet, 2018, 392(10159): 1736-1788. doi: 10.1016/S0140-6736(18)32203-7
[2]	国家心血管病中心. 中国心血管健康与疾病报告2022[M]. 北京: 中国协和医科大学出版社, 2023. National Cardiovascular Center. China Cardiovascular Health and Disease Report 2022[M]. Beijing: China Union Medical College Press, 2023.
[3]	中国心血管健康与疾病报告2022编写组. 《中国心血管健康与疾病报告2022》要点解读[J]. 中国心血管杂志, 2023, 28(4): 297-312. The Writing Committee of the Report on Cardiovascular Health and Diseases in China. Interpretation of Report on Cardiovascular Health and Diseases in China 2022[J]. Chinese Journal of Cardiovascular Medicine, 2023, 28(4): 297-312.
[4]	XIANG L, WENWU Z, JINSONG L, et al. Primary exploration of efficacy of community-family management mode under internet-based mobile terminal monitoring in elderly patients with stable coronary heart disease[J]. J Healthc Eng, 2022: 7043928. DOI: 10.1155/2022/7043928.
[5]	曹健敏, 朱金芬. 老年冠心病患者医院-社区健康管理模式的经验分享[C]//上海市护理学会. 第五届上海国际护理大会论文摘要汇编(下), 上海, 2022. CAO J M, ZHU J F. Experience sharing of hospital-community health management model for elderly patients with coronary heart disease[C]//Shanghai Nursing Association. Summary of the 5th Shanghai International Nursing Congress (Part 2). Fudan University is affiliated with Shanghai Fifth People ' s Hospital, 2022.
[6]	杨玲, 杜雪平. 社区规范管理的稳定性冠心病患者生活质量研究[J]. 中华全科医学, 2023, 21(11): 1898-1902. doi: 10.16766/j.cnki.issn.1674-4152.003253 YANG L, DU X P. Research on the quality of life in patients with stable coronary artery disease under standardized management in community[J]. Chinese Journal of General Practice, 2023, 21(11): 1898-1902. doi: 10.16766/j.cnki.issn.1674-4152.003253
[7]	安徽省医疗保障局.安徽省医疗保障局关于印发《安徽省基本医疗保险门诊慢特病病种目录(试行)》的通知(皖医保秘[2021]36号)[EB/OL].(2021-06-03)[2021-04-18]. Circular of Anhui Provincial Healthcare Security Administration on Printing and Issuing Catalogue of Outpatient Special and Chronic Diseases Recognized by Basic Medical Insurance(for Trial Implementation)(Wanyibaomi[2021]No.36)[EB/OL].(2021-06-03)[2021-04-18].https://www.ah.gov.cn/szf/zfgb/553994901.html.
[8]	中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 稳定性冠心病基层诊疗指南(实践版·2020)[J]. 中华全科医师杂志, 2021, 20(3): 274-280. Chinese Medical Association, Chinese Medical Journals Publishing House, Chinese Society of General Practice; Editorial Board of Chinese Journal of General Practitioners of Chinese Medical Association, Expert Group of Guidelines for Primary Care of Cardiovascular Disease. Guideline for primary care of stable coronary artery disease: practice version(2020)[J]. Chin J General Pract, 2021, 20(3): 274-280.
[9]	中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 冠心病心脏康复基层指南(实践版·2020)[J]. 中华全科医师杂志, 2021, 20(2): 150-165. Chinese Medical Association; Chinese Medical Journals Publishing House, Chinese Society of General Practice, Prevention Committee of Chinese Society of Cardiology, Cardiac Rehabilitation Committee of Chinese Society of Cardiology, Editorial Board of Chinese Journal of General Practitioners of Chinese Medical Association; Expert Group of Guidelines for Primary Care of Cardiovascular Disease. Guideline for primary care of cardiac rehabilitation of coronary artery disease(2020)[J]. Chin J General Pract, 2021, 20(2): 150-165.
[10]	FORCE USPST, MANGIOONE C M, BARRY M J, et al. Statin use for the primary prevention of cardiovascular disease in adults: US Preventive Services Task Force recommendation statement[J]. JAMA, 2022, 328(8): 746-753. doi: 10.1001/jama.2022.13044
[11]	LI T, JIANG H, DING J. The role of exercise-based cardiac rehabilitation after percutaneous coronary intervention in patients with coronary artery disease: a meta-analysis of randomised controlled trials[J]. Acta Cardiologica, 2024, 79(2): 1-9.
[12]	THOMAS M, JONES P G, ARNOLD S V, et al. Interpretation of the Seattle angina questionnaire as an outcome measure in clinical trials and clinical care: a review[J]. JAMA Cardiol, 2021, 6(5): 593-599. doi: 10.1001/jamacardio.2020.7478
[13]	国家卫生健康委员会. 中国卫生健康统计年鉴2021[M]. 北京: 中国协和医科大学出版社, 2021. National Health Commission. China Health Statistical Yearbook 2021[M]. Beijing: Peking Union Medical University Press, 2021.
[14]	WANG W, LIU Y N, LIU J M, et al. Mortality and years of life lost of cardiovascular diseases in China, 2005-2020: empirical evidence from national mortality surveillance system[J]. Int J Cardiol, 2021, 340: 105-112. doi: 10.1016/j.ijcard.2021.08.034
[15]	潘锋. 加快推进健康中国建设, 完善全生命周期健康服务[J]. 中国医药导报, 2023, 20(8): 4-6. PAN F. We will accelerate the development of a healthy China and improve health services throughout the life cycle[J]. China Mediceal Herald, 2023, 20(8): 4-6.
[16]	曹癸兰, 梁静, 陶宝明, 等. 医院-社区-家庭联动管理方案的制订及其在冠心病患者二级预防中的应用研究[J]. 中华护理杂志, 2018, 53(10): 1157-1162. CAO G L, LIANG J, TAO B M, et al. Application of linkage management model in the secondary prevention of coronary heart disease[J]. Chinese Journal of Nursing, 2018, 53(10): 1157-1162.
[17]	张微微, 王丽娟. 2013—2020年鞍山市立山区慢性病综合防控示范区建设成效评估[J]. 预防医学论坛, 2022, 28(2): 81-84. ZHANG W W, WANG L J. Evaluation on construction of demonstration area for comprehensive prevention and control of chronic diseases, Lishan district, Anshan city, 2013-2020[J]. Preventive Medicine Tribune, 2022, 28(2): 81-84.
[18]	姜莹莹, 齐力, 毛凡, 等. 国家慢性病综合防控示范区多部门合作现状研究[J]. 中国卫生政策研究, 2019, 12(11): 59-66. JIANG Y Y, QI L, MAO F, et al. Research on the status of multi-sector cooperation in national chronic disease comprehensive control and prevention demonstration areas[J]. Chinese Journal of Health Policy, 2019, 12(11): 59-66.
[19]	中国康复医学会心血管病预防与康复专业委员会, 中国心脏联盟心血管疾病预防与康复专业委员会康复师护理联盟. 稳定性冠心病康复治疗与护理实践中国专家共识[J]. 中华内科杂志, 2023, 62(12): 1406-1417. Cardiovascular disease Prevention and Rehabilitation Professional Committee of Chinese Rehabilitation Association, Chinese Heart Association Cardiovascular Disease Prevention and rehabilitation Professional Committee Rehabilists Nursing Alliance. Consensus of Chinese experts on rehabilitation treatment and nursing practice of stable coronary heart disease[J]. Chinese Journal of Internal Medicine, 2023, 62(12): 1406-1417.
[20]	HAN Y T, HU Y Z, LI L M, et al. Lifestyle, cardiometabolic disease, and multimorbidity in a prospective Chinese study[J]. Eur Heart J, 2021, 42(34): 3374-3384.
[21]	RAHIMA G, ANNA M, UZEYIR R, et al. Risk factors in cardiovascular patients: challenges and opportunities to improve secondary prevention[J]. World J Cardiol, 2023, 15(7): 342-353.

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Application effect of hospital-community-family linkage model in community coronary heart disease management

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