摘要
目的 :探讨农村家庭医生制模式下糖尿病患者健康管理的效果。方法 :按照WHO关于糖尿病的诊断标准,从2012年5月—2014年4月,选择符合入选标准并愿意参与调查的384人,以家庭医生制模式对研究对象实施健康咨询、健康教育、预约随访、专家会诊、健康评估等内容的健康管理。结果 :在实施农村家庭医生模式健康管理后,健康知识知晓率由38.72%提高至63.33%,差异有统计学意义(P<0.05),但65岁以上老年人组差异无统计学意义(P>0.05);对象遵医嘱服药、规律血糖监测两项健康就医行为,差异有统计学意义(P<0.05);研究对象的空腹血糖(FBG)、糖化血红蛋白(Hb A1c)和体质量指数,差异均有统计学意义(P<0.05)。结论 :农村家庭医生模式能有效地提高糖尿病患者的健康自我管理能力,有助于提高糖尿病管理效果。
Objective: To explore the effect of the health management on the patients with diabetes under the rural family doctor mode. Methods: According to WHO diagnostic criteria for diabetes, from May 2012 to April 2014, 384 people who were eligible for inclusion criteria and willing to participate in the survey were selected as the research subjects to receive the health management, such as the health consultation, health education, medical appointment and follow-up, expert consultation, health assessment and so on. Results: After the implementation of the health management under the rural family doctor mode, the health knowledge awareness rate increased from 38.72% to 63.33%, and the difference had the statistical significance(P〈0.05), but there was no significant difference in the group of the elderly patients over 65 years old(P〉0.05). The two items of the health behaviors of the subjects to take medicine according to the doctor's advice and regular blood glucose monitoring had the statistical significance(P〈0.05). Fasting plasma glucose(FBG), glycosylated hemoglobin(Hb A1c) and body mass index had the statistical significance(P〈0.05). Conclusion: The mode of the rural family doctor can effectively improve the health selfmanagement ability of the patients with diabetes, and help to improve the effect of diabetes management.
出处
《上海医药》
CAS
2016年第4期39-41,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
家庭医生
糖尿病
健康管理
效果评价
family doctor
diabetes
health management
effective evaluation