社区精细化管理在2型糖尿病患者管理中的应用价值研究

Research on the Application Value of Community Meticulous Management in the Management of Patients with Type 2 Diabetes Mellitus

目的评价社区精细化管理模式对2型糖尿病患者的干预效果。方法选取2020年6月—2021年6月深圳市宝安区石岩人民医院212例2型糖尿病患者为研究对象,随机分为研究组(n=106)和对照组(n=106),研究组患者进行糖尿病精细化管理,对照组患者进行基本模式管理。评价两组患者干预前后的糖尿病知识掌握正确率、服药依从性及血糖改善情况。结果研究组掌握糖尿病相关知识的优良率(97.17%)高于对照组(88.68%),差异有统计学意义(P<0.05);研究组治疗依从率(98.11%)较对照组(89.62%)更高,差异有统计学意义(P<0.05);干预前,两组FPG、2 hPG、HbA1c等血糖水平比较,差异无统计学意义(P>0.05),干预后,研究组FPG、2 hPG、HbA1c等血糖水平均较对照组更低,差异有统计学意义(P<0.05)。结论糖尿病精细化管理可提升2型糖尿病患者对糖尿病知识掌握正确率、治疗依从性,更有效地改善2型糖尿病患者血糖水平。

Objective To evaluate the intervention effect of the community meticulous management model on patients with type 2 diabetes mellitus.Methods Selected 212 patients with type 2 diabetes from June 2020 to June 2021 in Shiyan People’s Hospital,Bao’an District,Shenzhen as the research object and randomly divided into the study group(n=106)and the control group(n=106).The patients in the study group were treated with refined diabetes management,and the patients in the control group were treated with the basic mode of management.The accuracy rate of diabetes knowledge,medication compliance and blood glucose improvement in the two groups before and after intervention were evaluated.Results The excellent and good rate of mastering diabetes-related knowledge in the study group(97.17%)was higher than that in the control group(88.68%),and the difference was statistically significant(P<0.05).The treatment compliance rate of the study group(98.11%)was higher than that of the control group(89.62%),and the difference was statistically significant(P<0.05).There was no statistically significant difference in FPG,2 hPG and HbA1c between the two groups before intervention(P>0.05).After intervention,the blood glucose levels of FPG,2 hPG,HbA1c in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The refined management of diabetes can improve the accuracy rate of diabetes knowledge and treatment compliance in patients with type 2 diabetes,and more effectively improve the blood glucose level of patients with type 2 diabetes,which is worthy of promotion.