基于奥马哈系统的家庭医生团队在糖尿病延续性护理中的应用

Application of family doctor team service model based on the Omaha system in the continuous nursing care of diabetes mellitus

目的探讨以奥马哈系统为框架的家庭医生团队式服务模式应用于糖尿病患者延续性护理的效果。方法选择深圳市福田区某医院住院部2015年12月至2016年12月出院并居住在福田区的200例糖尿病患者为研究对象。将患者分为观察组和对照组,每组各100例,观察组患者采用以奥马哈系统为框架的家庭医生团队式服务模式进行延续性护理,对照组患者进行社区常规随访,于干预前和干预后6个月测量患者体质指数、空腹血糖、餐后2 h血糖和糖化血红蛋白,并用糖尿病患者生存质量特异性量表对患者的生存质量进行评估。结果干预前两组患者体质指数、空腹血糖、餐后2 h血糖和糖化血红蛋白水平差异无统计学意义(P>0.05),干预后均改善且观察组显著优于对照组,差异有统计学意义(P<0.05);干预前两组患者生存质量评分差异无统计学意义异(P>0.05),干预后均改善且观察组显著优于对照组,差异有统计学意义(P<0.05)。结论以奥马哈系统为框架的家庭医生团队式服务模式应用于糖尿病患者院外延续护理有助于促进患者血糖控制,提高患者生存质量。

Objective To explore the effect of family doctor team service model based on the Omaha system in application of the continuous nursing care of diabetes mellitus.Methods Totally,200 cases of patients with diabetes mellitus hospitalized from December 2015 to December 2016 in Futian District Hospital of Shenzhen city and lived in Futian District were selected as the study objects.The patients were divided into the observation group and the control group,with 100 cases of each group.Patients in the observation group were received continuous nursing care based on the Omaha system.While patients in the control group were followed up routinely.Two group patients＇ body mass index,fasting blood glucose,2 hours postprandial blood glucose and glycosylated hemoglobin were measured before intervention and 6 months after intervention,and the quality of life of patients with diabetes mellitus were assessed by using diabetes specific quality of life scale.Results There were no significant differences in body mass index（ BMI）,fasting blood glucose,2 hours postprandial blood glucose and glycosylated hemoglobin levels between the two groups before intervention（ P〉0.05）,and both groups improved significantly after intervention and the observation group was significantly better than the control group（ P〈0.05）. There was no significant difference in quality of life between the two groups before intervention（ P〈0.05）.They were improved after intervention and the observation group was significantly better than that of the control group（ P〈0.05）.Conclusion The application of family doctor team service model based on the Omaha system in the continuous nursing care of diabetes mellitus is helpful to control the blood glucose and improve patients＇ quality of life.