家庭医生责任制的实施对社区糖尿病管理的影响研究

Study on the Effect of Family Physician's Responsibility System on Community Diabetes Management

目的研究家庭医生责任制的实施对社区糖尿病管理的效果,探讨建立家庭医生责任制下对社区糖尿病患者的管理模式。方法选取我院100例糖尿病患者,随机分为对照组和管理组,每组50例;对照组患者仅给予糖尿病患者常规诊疗措施;管理组患者在糖尿病常规诊疗的基础上给予家庭医生责任制管理。比较两组患者在BMI指数以及生化指标的差异,并对管理组进行家庭医生责任制满意度调查。结果3个月后,管理组患者BMI指数与对照组相比差异具有统计学意义(P<0.01);管理组患者的血糖以及血脂等生化指标与对照组相比差异具有统计学意义(P<0.05),其中以餐后2 h血糖和Hb Alc指标改善尤为突出,差异具有统计学意义(P<0.01);同时对管理组50例患者调查的192份问卷中对本次管理策略内容满意率、认为家庭医生责任制管理模式对控制病情有效率以及认为有必要推广家庭医生责任制分别达到了78.1%、83.3%和70.3%。结论家庭医生责任制的实施对于社区糖尿病管理有积极的影响。

Objective To study the effect of family doctor＇s responsibility system on the management of diabetes mellitus in community, and to explore the establishment of family doctor＇s responsibility system for community diabetes management model. Methods 100 patients with diabetes mellitus were randomly divided into control group and management group. 50 patients in each group were treated with routine treatment of diabetes mellitus. The patients in the management group were given the responsibility of family doctor on the basis of routinetreatment of diabetes system management. The differences between the BMI index and the biochemical indexes were compared between the two groups, and the satisfaction of the family doctor was investigated. Results After three months, the BMI index of the management group was significantly different from that of the control group （P 〈 0.01）. The blood glucose and blood lipid and other biochemical indexes of the management group were significantly different from those of the control group （P 〈 0.05）. Among them, the postprandial 2 h blood sugar and HbAlc index were particularly prominent, and the difference was statistically significant （P 〈 0.01）. At the same time, the management group of 192 questionnaires were investigated in 50 patients in the survey of the satisfaction rate, content management strategy that mode of responsibility system for the management of family doctors to control the disease rate and the need to consider the promotion of family doctor responsibility system respectively reach 78.1%, 83.3% and 70.3%. Conclusion The implementation of the family doctor＇s responsibility system has a positive effect on the community diabetes management.