摘要
目的探讨采用清单式管理模式和管理工具开展社区2型糖尿病的慢病防控工作的效果。方法针对本社区服务中心所有登记在册的2型糖尿病病人,采用清单式管理模式和管理工具开展糖尿病的慢病防控工作,病人的糖尿病知识的掌握情况、治疗率、血糖控制情况、并发症防治情况、低血糖发生率、治疗措施依从性等,掌握本社区以至本市区2型糖尿病病人的发病情况、治疗情况等基本信息,并与接受本社区服务中心服务前的情况以及本地区近年的统计资料进行对比分析。借此探讨社区2型糖尿病防控工作的方式、方法,促进糖尿病防控工作更深更好地开展。结果我社区服务中心2型糖尿病诊断人数大致呈逐年提高趋势,其中60~79岁年龄段最集中,糖尿病病人合并心、脑等大血管病变比例高;采用清单式管理模式和管理工具开展糖尿病的慢病防控工作,有效提高了糖尿病的知晓率、治疗率、血糖控制率,其中糖尿病的知晓率、治疗率远高于国内此前的调查数据;同时显著提高了治疗措施的依从性。结论清单式管理有效地推进了社区2型糖尿病的慢性病防控工作,提高了糖尿病防控的工作效率和防控质量,尤其在提高糖尿病的知晓率、治疗率、提高治疗措施的依从性方面效果显著。
Objective: To explore the effect of using the checklist management model and tools for the prevention and control of chronic diseases in type 2 diabetes in community health services.Methods: The checklist management mode and tools was used for all registered type 2 diabetes patients in this community health center to carry out chronic disease prevention and control of diabetes,and to manage patients' mastery of diabetes knowledge,treatment rate,blood glucose control rate,prevention and treatment of complications,incidence rate of hypoglycemia,compliance with treatment measures,etc.The results were compared with previous statistics in the community service center and statistics of the region in recent years.These helped explore ways and means of prevention and control of type 2 diabetes in the community,and promote diabetes prevention and control work further and better.Results: After adopting the checklist management model,the awareness rate of diabetes (90.2%),treatment rate (93.9%),hypoglycemia / suspected hypoglycemia (0.5%),and blood glucose control rate (ideal 47.2%) were significantly higher than those before community health service.Meanwhile,after community 2 diabetes patients received community health services,the treatment rate of type 2 diabetes (93.9%) was significantly higher than the latest domestic investigation of type 2 diabetes (32.2%),and the rate of treatment (47.2%) was similar to the rate of domestic treatment (49.2%).Conclusion:Checklist management mode effectively promotes the prevention and control of chronic disease of type 2 diabetes in the community health service,improves the efficiency and quality of prevention and control of diabetes,especially in improving the awareness rate of diabetes,treatment rate,the compliance of treatment measures and reducing the risk of hypoglycemia.
作者
张贵伟
杭洪霞
ZHANG Gui-wei;HANG Hong-xia(Community Health Service Center,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277100,China)
出处
《泰山医学院学报》
CAS
2019年第5期347-350,共4页
Journal of Taishan Medical College
基金
山东省基层卫生科技创新计划项目(JCK1719)
关键词
社区卫生
糖尿病
2型
清单式管理模式
community health services
diabetes mellitus,type 2
checklist management model