糖尿病“团队型5A式”管理模式在社区糖尿病管理中的效果

DIABETES " TEAM TYPE 5A-STYLE" MANAGEMENT EFFECTIVENESS IN COMMUNITY DIABETES MANAGEMENT ANALYSIS

目的分析糖尿病"团队型5A式"管理模式在社区糖尿病管理中的效果,以期创建一个新型社区糖尿病管理模式。方法采用前瞻式队列研究方法,对上海市松江区新浜街道398例社区糖尿病病人分别采取"团队型5A式"管理模式以及常规管理模式进行为期12个月的社区糖尿病管理。通过比较干预前、后各指标的变化情况,以进一步了解两种管理模式干预效果。结果干预12个月之后,干预组病人在心理健康状况、糖化血红蛋白控制、血压控制、医疗资源利用方面较对照组要好(p<0.01)。干预组门诊次数较对照组多(p<0.01),而医疗保健的资源利用较对照组少(p<0.01)。结论 "团队型5A式"管理模式在糖尿病病人改善心理健康状况、控制血压和糖化血红蛋白、提高医疗资源利用率方面有一定作用,未发现在血糖控制方面的改善。

By analyzing the effect of ＂5A group- management＂ pattern on the community- based diabetes management,the article aimed to establish a new model of community- based diabetes management. Method It designed a community- based intervention program,and discussed the intervention effect by comparing the indicators before and after the intervention. Result After 12- months intervention,intervention group patients are better than the contrast group in aspects of mental health,the control of HBAIC and blood pressure,and use of medical resources.Conclusion The ＂ 5A group- management＂ pattern may help the patients in improving mental health controlling blood pressure and HBAIC,and improving medical resources utilization.