摘要
目的研究在社区中糖尿病病人的高效的综合管理模式的效果.方法采用基线匹配的原则随机选取在2013年1月到2014年12月上海市闵行梅陇社区卫生服务中心登记治疗的病人200例,平均分为两大组,研究组采用综合的社区“六位一体”的糖尿病管理模式,对照组采用社区常规糖尿病管理模式.对两组病人在干预前后的效果和成本分析比较.结果干预后,研究组的血压、空腹血糖、糖化血红蛋白以及病人的自我管理水平的六个分项与总分值都比干预前有一定程度的提高,用药、血糖与血压的自测、饮食、运动与复查的频率情况的差异显著(P〈0.05);在干预后,研究组的饮食、运动、用药、血糖和血压的自测以及复查的频率各项显著优于对照组病人(P〈0.05),血压与空腹血糖显著优于对照组病人(P〈0.05);研究组生存质量水平的评分情况显著优于对照组病人(P〈0.05).研究组的优于对照组,研究组干预后的糖尿病相关知识的知晓情况优于对照组(P〈0.05).结论综合的社区“六位一体”的糖尿病管理模式对于糖尿病病人的疗效优异,患者的认知情况和血糖水平明显改善,而且该模式的成本低,可在社区进行推广.
Objective to study the diabetes patients in the community and efficient integrated management mode of the effect. Method 200 cases of patients is randomly selected in January 2013 to December 2014 in community health service center of Shanghai minhang meilong registration treatment , patients are divided into two groups, research group adopts comprehensive community "six integration" diabetes management mode, the control group adopts conventional diabetes community management mode. The effect and cost is analyzed and compared of two groups before and after the intervention . Results after the intervention, the team of blood pressure, fasting glucose, and the patient's self management level, the quality of survival score significantly better than the control group patients (P 〈 0.05). Study group is better than that of control group, the team knows better than control group after intervention (P 〈 0.05). Conclusion comprehensive community "six integration" diabetes management mode is excellent for curative effect of diabetes patients,it’s cost is lower. The mode can undertake to promote in the community.
出处
《湖南中医药大学学报》
CAS
2016年第A02期960-960,共1页
Journal of Hunan University of Chinese Medicine
关键词
糖尿病
综合管理模式
疗效
Diabetes
Integrated management mode
The curative effect