社区糖尿病管理模式的临床效果

Clinical Effect of Community Diabetes Management Mode

目的:观察某社区糖尿病管理模式的临床效果。方法:选取2014年1月~2015年1月某社区卫生服务中心测量血压的340名糖尿病患者作为观察对象,将其分为标准组和强化组,每组170名。结果:对比两组患者的性别、平均年龄、婚姻状况、职业、家庭月收入、平均病程等一般情况,P>0.05,两组患者的一般情况不存在显著性的差异,具有可比性。对比标准组和对照组患者干预前以及干预后的空腹血糖、糖化血红蛋白、低密度脂蛋白,P>0.05,无显著性差异;分别对比标准组干预前后的空腹血糖、糖化血红蛋白、低密度脂蛋白,P<0.05,差异显著,具有统计学意义;分别对比强化组干预前后的空腹血糖、糖化血红蛋白、低密度脂蛋白,P<0.05,差异显著,具有统计学意义。对比标准组和对照组患者干预前以及干预后达标数,P>0.05,无显著性差异;对比标准组干预前后的联合达标率,P>0.05,无显著性差异;对比强化组干预前后的联合达标率,P<0.05,差异显著,具有统计学意义。结论:社区糖尿病管理模式能够显著提升联合达标率,值得推广及应用。

Objective： To investigate the clinical effect of community diabetes management mode. Methods： 340 diabetic patients who had measured blood pressure in community health service centers from January 2014 to January 2015 were selected as the objects and divided into standard group and strength groups,with 170 cases in each group.Results ： The general condition of gender, average age, marital status, occupation, family income,average duration in two groups had no significant difference （P〉0.05）, so the patients of two groups were comparable.The fasting blood glucose, glycosylated hemoglobin, and low density lipoprotein of two groups before and after the intervention had no significant difference （P〉0.05）.The fasting blood glu- cose, glycosylated hemoglobin, and low density lipoprotein of standard group before and after the intervention group had significant differences, which the differences were statistically significant （P 〈 0.05）, The fasting blood glucose, glycosylated hemoglobin, and low density lipoprotein of strength group before and after the intervention group had significant differences, which the differences were statistically significant （P 〈0.05）. The standard number of two groups before and after the intervention had no significant difference （P〉0.05）. The joint compliance rate of standard group before and after intervention had no significant difference （P〉 0.05）,and the joint compliance rate of strength group before and after the intervention had significant difference, which the difference was statistically significant （P 〈 0.05）. Conclusion ： Community diabetes management can significantly improve the joint compliance rate,which is worthy of promotion and application.