2型糖尿病社区照顾路径应用的评价研究

Evaluation on the Application of Clinical Pathway for Type 2 Diabetes Mellitus in Community

目的 评价所建立的适用于我国城市社区人群 2型糖尿病社区照顾路径的效果、效益、可行性和可推广性。方法 采用同期非随机对照试验和个人深入访谈法, 对所建立的社区照顾路径进行评价。结果 2型糖尿病社区照顾路径的实施提高了患者的生存质量、满意度、依从性和糖尿病健康知识的知晓度, 同时也提高了社区卫生服务质量。结论 2型糖尿病的社区照顾路径在提高医院运行效率的同时, 规范了医疗服务, 是一种比较实用的疾病管理方法。

Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and extrapolability of the clinical pathway developed in urban community for the patients with type 2 diabetes mellitus.Methods The clinical pathway developed in urban community was evaluated by non-random concurrent controlled trial and individual depth interview. Results Many aspects of the patients in experimental group improved, including the life quality, satisfaction, compliance, and the awareness of the knowledge on diabetes. The quality of the community health care service was also enhanced.Conclusion The clinical pathway developed in urban community for patients with type 2 diabetes mellitus is necessary to enhance the efficiency of hospital and to standardize the medical care service. The clinical pathway may be a very practical method for disease management.