家庭医生签约模式下预约门诊对糖尿病患者管理效果的影响

The impact of appointment of outpatient clinics on the management of diabetic patients under the family doctor contract mode

目的:分析家庭医生签约模式下预约门诊对社区糖尿病患者的管理效果。方法:2019年第一季度在上海宜川街道社区卫生服务中心接受预约就诊和未接受预约就诊的2型糖尿病患者中各抽取110人分别纳入观察组和对照组。观察组110例患者中,女性56例,男性54例,平均年龄(68.95±2.67)岁;对照组110例患者中,女性53例,男性57例,平均年龄(69.05±2.62)岁。观察组患者接受分时段预约门诊管理,对照组患者接受家庭医生签约简易门诊管理。比较入组前和管理1年后的糖尿病知识知晓率、依从性、血糖和血压控制率。结果:1年后,观察组的糖尿病知晓率、依从性、血糖控制率、血压控制率均明显优于对照组(70.9%比55.0%、72.7%比54.5%、71.8%比53.6%、65.5%比52.7%,P<0.05)。结论:家庭医生签约模式下的预约门诊服务有助于提高社区糖尿病患者的管理效果。

Objective:To analyze the management effect of outpatient appointment in community diabetes patients under family doctor contract mode.Methods:In the first quarter of 2019,110 patients with type 2 diabetes who received an appointment and 110 patients with type 2 diabetes who did not receive an appointment in Yichuan Community Health Service Center,Shanghai were selected into an observation group and a control group.In 110 patients in the observation group,there were 56 females and 54 males with an average age of(68.95±2.67)years;in 110 patients in the control group,there were 53 females and 57 males with an average age of(69.05±2.62)years.The patients in the observation group received the management of outpatient appointment in different periods,while the patients in the control group received the simple outpatient management signed by family doctors.The diabetes knowledge awareness rate,compliance,blood sugar and blood pressure control rate before enrollment and one year after management were compared.Results:One year later,the diabetes awareness,compliance,blood sugar control rate,and blood pressure control rate in the observation group were significantly better than those in the control group(70.9%vs.55.0%,72.7%vs.54.5%,71.8%vs.53.6%,65.5%vs.52.7%,P<0.05).Conclusion:The appointment of outpatient services under the family doctor contract mode can help improve the management effect of diabetes patients in the community.