家庭医生签约模式下社区护理在糖尿病患者中的应用效果分析

Analysis of Application Effect of Community Nursing in Diabetes Patients Under Family Doctor Contract Mode

目的:分析对糖尿病患者采用社区家庭医生签约模式护理的效果。方法:选取2020年1月—2021年4月北京市通州区玉桥街道社区卫生服务中心收治的80例2型糖尿病患者作为研究对象,根据随机数字表法分为观察组与对照组,各40例。对照组实施常规社区护理,观察组在对照组基础上应用社区家庭医生签约模式下社区护理。比较两组患者治疗依从性、自我管理能力及护理前后的血糖水平。结果:护理干预期间,观察组科学膳食、自我血糖监测、严格遵医用药、坚持运动锻炼、定期复诊及足部护理的依从率均高于对照组,差异有统计学意义(P<0.05)。护理前,两组自我概念、自护责任感、健康知识、自我护理技能评分及总得分比较,差异无统计学意义(P>0.05);护理后,观察组自我概念、自护责任感、健康知识、自我护理技能评分及总得分均高于对照组,差异有统计学意义(P<0.05)。护理前,两组空腹血糖(FBG)、餐后2 h血糖(2 hPBG)、糖化血红蛋白(HbA_(1c))水平比较,差异无统计学意义(P>0.05);护理后,观察组FBG、2 hPBG、HbA_(1c)水平均低于对照组,差异有统计学意义(P<0.05)。结论:对糖尿病患者采用社区家庭医生签约模式下的社区护理,可有效增强患者治疗的依从性及自我管理能力,有利于更好地控制其血糖水平。

Objective:To analyze the effect of the nursing under the contract mode of community family doctors in diabetes patients.Methods:From January 2020 to April 2021,80 patients with type 2 diabetes mellitus admitted to the Yuqiao Subdistrict Community Health Service Center of Tongzhou District of Beijing were selected as the study subjects,and they were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group received routine community nursing,while the observation group received community nursing under the contract mode of community family doctors.Treatment compliance,self-management ability,and blood glucose levels before and after nursing were compared between the two groups.Results:The compliance rates of scientific diet,self-blood glucose monitoring,strict medication compliance,adherence to exercise,regular return visit and foot care in the observation group were higher than those in the control group during the nursing intervention,and the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in the self-concept,self-care responsibility sense,heath knowledge and self-care ability scale scores and total scores between the two groups(P>0.05).After nursing,the self-concept,self-care responsibility sense,heath knowledge and self-care ability scale scores and total scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPBG),and glycated hemoglobin(HbA_(1c))levels between the two groups(P>0.05).After nursing,FBG,2 hPBG and HbA_(1c) levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The community nursing under the contract mode of community family doctors for patients with diabetes can effectively enhance the treatment compliance and self-management ability of patients,and is conducive to better control of their blood glucose level.