共同照护对社区老年2型糖尿病患者血糖血脂管理效果影响

Effect of joint care on blood glucose and blood lipid management of elderly patients with type 2 diabetes mellitus in community

目的:探讨全科团队与志愿者共同照护模式对社区老年2型糖尿病患者血糖血脂管理效果的影响。方法:选取2017年3-12月老年2型糖尿病合并血脂异常患者85例,进行12个月的共同照护,观察干预效果。结果:共同照护管理后,总胆固醇达标率及低密度脂蛋白达标率分别提高47.1%及36.5%;糖化血红蛋白达标率提高24.7%;低密度脂蛋白与糖化血红蛋白联合达标升高21.2%。结论:全科团队与社区志愿者对患者进行共同照护的管理模式,提高了老年2型糖尿病的血糖、血脂达标率。

Objective:To explore the effect of joint care mode of general practice team and volunteers on the management of blood glucose and blood lipids in elderly patients with type 2 diabetes mellitus in community.Methods:From March 2017 to December 2017,85 elderly patients with type 2 diabetes mellitus complicated with dyslipidemia were selected,they were given common care for 12 months,and the intervention effect was observed.Results:After joint care management,the attainment rate of total cholesterol and low density lipoprotein increased by 47.1%and 36.5%respectively,the rate of glycosylated hemoglobin increased by 24.7%,and the combination of low density lipoprotein and glycosylated hemoglobin increased by 21.2%.Conclusion:The management mode of joint care of patients by general practice team and community volunteers can improve the standard rate of blood glucose and blood lipids in elderly patients with type 2 diabetes mellitus.