基本公共卫生服务在糖尿病管理中的应用效果

Application effect of basic public health services in diabetes mellitus management

目的探讨基本公共卫生服务在糖尿病管理中的应用效果。方法选取2017年1月~2019年1月佛山市南海区桂城街道社区卫生服务中心收治的100例2型糖尿病患者作为研究对象,采用随机数字表法将其分为两组,每组各50例。对照组患者未接受基本公共卫生服务,干预组患者接受基本公共卫生服务。比较两组患者的身体检查率,比较两组患者的血糖、体征及体重指数(BMI)控制情况,比较两组患者的生活方式和用药相关指标变化。结果干预组患者的主动检查血糖、血脂、尿常规、肾功能、足部、眼底、心电图率均高于对照组,差异有统计学意义(P<0.05);干预组患者的血糖控制率、足背动脉触及率、BMI正常率高于对照组,差异有统计学意义(P<0.05);干预组中,运动、主食≤400 g/d、遵医行为良好、服药率良好、服药依从性良好患者的占比高于对照组,差异有统计学意义(P<0.05)。两组患者的吸烟情况、饮酒情况、心理状态比较,差异无统计学意义(P>0.05)。结论将基本公共卫生服务糖尿病管理应用于糖尿病患者时,可显著提升患者的检查普及率,血糖、体征改善明显,可显著提升患者的用药规律性及依从性,改善生活方式,此方法值得应用与推广。

Objective To explore the application effect of basic public health services on diabetes management.Methods From January 2017 to January 2019,100 patients with type 2 diabetes mellitus in Community Health Service Center,Guicheng Street,Nanhai District of Foshan City were selected as the research objects.They were randomly divided into two groups using the random number table,with 50 patients in each group.In the control group,patients did not receive basic public health services,and in the intervention group,participants received basic public health services.The physical examination rate was compared between the two groups.Blood glucose,physical signs and body mass index(BMI)control were compared between the two groups.Changes in lifestyle and drug-related indicators were compared between the two groups.Results The active examination rates of the blood glucose,blood lipid,urine routine,renal function,foot,fundus,and electrocardiogram of patients in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).In the intervention group,the blood glucose control rate,the touching rate of arteria dorsalis pedis,and the normal BMI rate were higher than those in the control group,and the differences were statistically significant(P<0.05).In the intervention group,the proportions of exercise,staple food≤400 g/d,good compliance behavior,good medication rate,and good medication compliance among patients were higher than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in smoking,alcohol drinking,and psychological status between the two groups(P>0.05).Conclusion When applying basic public health service diabetes mellitus management to diabetic patients,it can significantly increase the pouplarizaiton rate of patients,greatly improve blood glucose and physical signs,can markedly improve medication regularity and compliance,and change lifestyles.This method is worthy of application and promotion.