知己健康管理在社区糖尿病患者综合管理中的效果评价研究

Effect Evaluation of Systematic Health Management in Integrated Community Management for Diabetic Patients

目的探讨知己健康管理在社区糖尿病患者综合管理中的效果。方法将某社区卫生服务中心参与社区糖尿病综合管理的60例2型糖尿病现状患者进行随机分组,A组20例,对其进行常规的综合管理及知己健康管理;B组40例,只对其进行常规的综合管理。管理3个月后,对两组患者管理前后体质量、血压、血糖、血脂等相关指标的变化、行为方式的改变以及糖尿病相关知识的知晓情况进行比较分析。结果 (1)A组患者管理前后体质量、体质指数、腰围、收缩压、舒张压、空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)水平比较,差异均有统计学意义(P<0.05);总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)水平比较,差异均无统计学意义(P>0.05)。B组患者管理前后体质量、体质指数、腰围、收缩压、舒张压、FPG、2hPG、HbA1c、TC、TG、HDL、LDL水平比较,差异均无统计学意义(P>0.05)。(2)管理后,两组患者FPG正常值知晓率、2 hPG正常值知晓率、HbA1c正常值知晓率比较,差异均有统计学意义(P<0.05)。(3)管理后,两组患者血糖控制率、血压控制率、HbA1c下降率、饮食习惯良好率、运动习惯良好率、遵医嘱服药率比较,差异均有统计学意义(P<0.05)。结论知己健康管理可以帮助糖尿病患者掌握自我管理疾病和健康的方法,并且在患者的心理因素方面起到积极的作用,是一种比较有效的糖尿病管理方法。

Objective To investigate the effects of applying the systematic health management in integrated community management for diabetic patients.Methods A total of 60 diabetics who participated in the integrated community management in a community health service center were randomly divided into 2 groups.The 20 diabetics in group A were given systematic health management based on regular management,and the 40 diabetics in group B were only given the regular management.After 3 months management,the changes were statistically comparatively analyzed between the two groups,1ncluding indexes of body mass,body mass index（BMI）,waistline,blood pressure,fasting blood glucose（FBG）,2-hour postprandial blood glucose（2 hPG）,and glycosylated hemoglobin（HbA1c）;behavioral pattern and awareness of knowledge about diabetes.Results（1）In group A,the differences between before and after the treatment in body mass,BMI,waistline,systolic blood pressure,diastolic blood pressure,FPG,2 hPG,HbA1c were significant statistically（P0.05）;but the differences in total cholesterol（TC）,triglyceride（TG）,high density lipoprotein（HDL）,and low density lipoprotein（LDL） were not（P0.05）.However,in group B the differences between before and after the treatment in all the above indexes were non-significant statistically（P0.05）.（2）After the management,the differences between the two groups in awareness rates of normal values on FPG,2 hPG and HbA1c were significant（P0.05）.（3）After the management,the differences between the two groups in controlled rates of blood sugar and blood pressure,lowering rate of HbA1c,rates of good dietary habit and exercise habit,and drug taking-in rate according to medical order were significant（P0.05）.Conclusion The systematic health management can help diabetics to master a method of selfmanagement of one′s disease and health,and it has positive effects on the patients psychologically.Therefore,it is an effective model for diabetic management.