Objective To evaluate the effect of family doctor responsibility system on quality of life of patients with chronic heart failure in community. Methods The 100 recruited patients with chronic heart failure in community were randomly divided as trial group and control group, with 50 in each group. Routine diagnosis and treatment were used for patients in the control group, while the family doctor responsibility system was used for patients in the trial group when they were accepting the routine diagnosis and treatment. The qualities of life of all the patients were evaluated by adopting Minnesota Living with Heart Failure Questionnaire ( MLHFQ ) . Results Baseline clinical characteristics and quality of life between the two groups showed no significant difference ( P > 0. 05 ) . After 6 months, the quality of life in the trial group was significantly better than that in the control group: physical quality of life score was ( 14. 24 ±9. 33 ) vs. ( 22. 18 ± 11. 57 ), emotional quality of life score ( 5. 32 ±4. 78 ) vs. ( 8. 66 ± 6. 82 ), total quality of life score ( 28. 90 ± 18. 81 ) vs. ( 44. 70 ± 23. 24 ) ( P < 0. 01 ) . Conclusion The quality of life in patients with chronic heart failure in community can be effectively improved with the family doctor responsibility system.%目的 评估家庭医生责任制对社区慢性心力衰竭患者生存质量的影响.方法 将入选的100例社区慢性心力衰竭患者随机分为观察组和对照组,每组各50例.对照组实施常规诊疗,观察组在接受常规诊疗的同时实施家庭医生责任制管理.采用明尼苏达心力衰竭生存质量量表对两组患者的生存质量进行评估.结果 基线时两组患者的临床特征、生存质量比较,差异均无统计学意义(P＞0.05).6个月后,观察组患者的生存质量较对照组明显改善:身体领域(14.24±9.33)分vs.(22.18±11.57)分,情绪领域(5.32±4.78)分vs.(8.66±6.82)分,综合生存质量(28.90±18.81)分vs.(44.70±23.24)分,差异均有统计学意义(P＜0.01).结论 运用家庭医生责任制对社区慢性心力衰竭患者进行管理,可有效提高患者的生存质量.
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