Observation on the application effect of a Tibetan medicine health management program for the elderly in the registered elderly population of a community health center
老年人藏医药健康管理方案在卫生院建档老年人群中的应用效果观察

摘要

目的 评价基于体质辨证的藏医药健康管理方案在卫生院建档老年人群中的应用效果。方法 选取64例琼结县某卫生院65岁以上建档老年人，随机均分为干预组与对照组。干预组接受为期6个月的藏医药健康管理，对照组接受常规健康管理。比较两组干预前后健康行为依从性、SF-36生活质量评分及常见老年疾病发病率。结果 干预后，干预组健康行为依从性总分及SF-36总分均显著高于对照组（P＜0.05），常见老年疾病发病率低于对照组（P<0.05）。结论 藏医药健康管理方案能有效提升老年人的健康行为依从性和生活质量，降低常见老年疾病发病率，适用于基层卫生院老年健康管理实践。

Abstract

Objective To evaluate the application effect of a Tibetan medicine health management program based on constitution differentiation in the elderly population with established health records at a community health center.
Methods 64 elderly individuals aged 65 and above with health records at a community health center in Qiongjie County were selected and randomly divided equally into an intervention group and a control group. The intervention group received a 6-month Tibetan medicine health management program, while the control group received routine health management. Health behavior compliance, SF-36 quality of life scores, and the incidence of common geriatric diseases were compared between the two groups before and after the intervention.
Results After the intervention, the total health behavior compliance score and the SF-36 total score in the intervention group were significantly higher than those in the control group (P<0.05), and the incidence of common geriatric diseases was lower than that in the control group (P<0.05).
Conclusion   The Tibetan medicine health management program can effectively improve health behavior compliance and quality of life, and reduce the incidence of common geriatric diseases in the elderly, making it suitable for application in elderly health management practices at primary-level community health centers.