糖尿病患者医院与社区卫生服务中心双向转诊进行连续性健康教育的效果评价

Effect of Continuous Health Education on Diabetic Patients in Two-way Referral between Hospital and Community Health Services Center

目的评价糖尿病患者医院与社区双向转诊进行连续性健康教育的效果。方法将126例糖尿病患者随机分为干预组(63例)与对照组(63例),对照组患者仅在住院时进行糖尿病知识宣教,干预组患者实行医院与社区双向转诊连续性健康教育,根据患者的具体情况进行健康干预,使其掌握正确的用药方法,合理控制饮食,按时监测血糖,保持适当运动,预防并发症等。结果随访1年后两组患者的遵医行为及空腹血糖水平间差异均有统计学意义(P<0.05)。对照组患者1年内因糖尿病再次住院1次12例,2次2例,门诊人平均费用1 280元/月,发生并发症4例。干预组患者门诊人平均费用760元/月,无原发糖尿病住院记录,未发生并发症。结论干预组患者自我管理能力有所提高,遵医行为明显改观,门诊平均医疗费用较少,并发症的发生减少。医院与社区双向转诊实施连续性健康教育有利于提高糖尿病患者的认知水平。

Objective To evaluate the result of continuous health education on diabetic patients in two-way referral between hospital and community health service center.Methods Totally 126 patients with diabetes mellitus were randomly divided as intervention group and control group,with 63 in each.The patients in the control group were given knowledge on diabetes mellitus only at hospitalization;while those in the intervention group were given two-way referral management,they were given health interventions according to the specific conditions of the patients so that they could master the correct medication,reasonable control of diet,timely monitoring of blood glucose,adequate exercise,and prevention of complications.Results There were significant differences in behaviors compatible with medical orders and level of fasting blood glucose between the two groups(P<0.05).There were in the control group 12 patients who were hospitalized once,2 patients twice;4 patients who had complications,with average expense of 1 280 RMB yuan per outpatient.And in the prevention group the average expense per outpatients was 760 RMB yuan,no one was hospitalized with primary diabetes mellitus,and no complication was found.Conclusion The self-management capability of the patients in the intervention group is improved,their compatible behavior with the medical orders is obviously enhanced,their clinic expense is less,and their complications are also less.The continuous health education in two-way referral management is conducive to raise the patients′ diabetic awareness.