2型糖尿病社区综合管理的效果评价

Evaluation of the Effect of Integrated Community Management in Type 2 Diabetes Community

目的评价在社区对2型糖尿病患者进行综合管理的效果。方法随机选取2017年~2018年在社区卫生服务中心就诊的186例患有2型糖尿病但是血糖不达标的患者,并由社区的全科医师对患者进行综合管理。结果通过社区全科医师对2型糖尿病患者的全面管理,患者对糖尿病的认识显著提高,合理膳食和适量运动的患者越来越多,吸烟的患者数越来越少。通过对以上因素的合理控制,患者的血糖得到了良好的控制。结论在社区2型糖尿病患者血糖控制不理想的患者中,饮食控制不好和运动不规律的患者占比较大,通过全科医师的综合管理,可以使很大一部分血糖控制不理想的患者血糖达标。

Objective To evaluate the effect of comprehensive management in community for patients with type 2 diabetes.Methods A total of 186 patients with type 2 diabetes who were admitted to the community health service center in 2017-2018 but did not meet the blood glucose standard were randomly selected,and the patients were comprehensively managed by the general practitioner in the community.Results Through the comprehensive management of type 2 diabetes patients by general practitioners in the community,patients'awareness of diabetes was significantly improved,more and more patients had reasonable diet and moderate exercise,and fewer and fewer patients smoked.Through reasonable control of the above factors,the patient's blood glucose has been well controlled.Conclusion Among the patients with community type 2 diabetes with unsatisfactory blood glucose control,patients with poor diet control and irregular exercise account for a large proportion.Through the comprehensive management of general practitioners,a large number of patients with unsatisfactory blood glucose control can reach the standard.