文章摘要
朱鸣雷,刘晓红,刘谦,刘喆,肖敏.北京社区医务人员对于老年综合评估的评价分析[J].中国临床保健杂志,2020,23(4):466-469.
北京社区医务人员对于老年综合评估的评价分析
The evaluation and analysis about comprehensive geriatric assessment practiced in community health care professionals
投稿时间:2020-04-10  
DOI:10.3969/J.issn.1672-6790.2020.04.008
中文关键词: 健康状况指标  社区卫生工作者  在职培训  可行性研究  老年医学
英文关键词: Health status indicators  Community health workers  Inservice training  Feasibility studies  Geriatrics
基金项目:北京市科委十大疾病科技成果推广项目(Z171100001017251);米尔斯汀亚美医学基金会厄玛和保罗米尔斯坦老年健康专项
作者单位E-mail
朱鸣雷 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730 yidazhuml@126.com 
刘晓红 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730 xhliu41@163.com 
刘谦 北京同仁医院老年医学科  
刘喆 北京大学第三医院老年内科  
肖敏 北京市隆福医院老年病科  
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中文摘要:
      目的 从医务人员的评价角度,探讨社区医务人员开展老年综合评估(CGA)的可行性,分析社区开展CGA的效果。方法 对北京市608名社区医务人员进行CGA相关培训;调查参加培训者开展CGA的情况及对CGA的评价。结果 在社区培训前,接受过正规老年医学培训的人员仅占16.6%,对于CGA及部分老年综合征掌握普遍较差。在培训及社区开展CGA工作后,对93名社区医务人员的调查显示:社区进行CGA大多耗时20~30 min,94.5%的社区医务人员认为CGA对其工作有帮助,87%的人赞同CGA丰富了老年医学工作内容,限制社区开展CGA的因素主要为评估花费时间长、缺乏上级医院指导、缺乏开展评估的技能。结论 在社区开展CGA能够得到社区医务人员的认可、并在实践中进行干预;进一步的培训、上级医院的支持、以及适合的评估干预策略,有望提高社区CGA的效率、落实具体干预措施。
英文摘要:
      Objective To explore the possibility of carrying comprehensive geriatric assessment (CGA) in Beijing communities,from the view of community healthcare staves,and evaluate the attitude and effect.Methods The healthcare staves in some communities in Beijing were investigated,to understand their baseline of geriatric practice,beforethe CGA related training.And after their practicing of CGA in communities,an investigation was carried to know the status of CGA practice and the comment about CGA from the community staves.Results Before our geriatric training,only 16.6% of the community healthcare staves had received such training,also the skills about CGA and knowledge about geriatric syndromes were insufficient for most of the staves.After our training and CGA practicing in the communities,the survey of 93 community healthcare staves provided the information as below.The time spent on CGA was mostly 20-30 minutes,and 94.5% of the subjects believed that CGA was helpful to their work,87% subjects agreed that CGA enriched the content of geriatric medicine.The main limiting factors for CGA practice in the community were the costing of time on CGA,the lack of guidance from the superior hospital,and the lack of CGA skills.Conclusion CGA can be accepted by the community healthcare staves and intervention after CGA could also be practiced.Further training,supporting from the superior hospital and appropriate assessment strategies may improve the efficiency of CGA in communities and promote individualized interventions.
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