系统化慢病管理在医养结合养老机构2型糖尿病患者慢病管理中的应用效果

The Application Effect of Systematic Chronic Disease Management in the Chronic Disease Management of Type 2 Diabetes Mellitus Patients in a Combined Medical and Nursing Care Institution

目的探索医养结合机构系统化慢病管理在2型糖尿病患者慢病管理中的影响。方法选取2022年1月—2023年4月江门市新会区中医院养老区收治的62例2型糖尿病患者,以随机数表法分为观察组与对照组,每组31例。其中所有患者均进行血糖监测,对照组患者进行常规管理,观察组则在此基础上进行系统化慢病管理。比较两组管理前后的血糖情况、自我管理能力,不良反应发生情况。结果管理前两组的血糖情况比较,差异无统计学意义(P>0.05);管理后,观察组的空腹血糖、用餐2 h后血糖均回归至正常水平,比对照组更优,差异有统计学意义(P<0.05)。管理前两组的自我管理能力均较差,差异无统计学意义(P>0.05);管理后观察组的评分比对照组高,差异有统计学意义(P<0.05)。观察组仅有1例患者出现不良反应,少于对照组的7例,差异有统计学意义(P<0.05)。结论医养结合模式的系统性化慢病管理模式,能帮助患者的血糖指标更快地恢复正常,降低低血糖发生率的同时,也能提高长者的日常自我管理能力,降低不良反应的发生,是一种优质安全的管理方式,值得在临床上应用与推广。

Objective To explore the impact of systematic chronic disease management in type 2 diabetes mellitus pa-tients'chronic disease management in combined medical and nursing institutions.Methods 62 cases of type 2 diabe-tes mellitus patients admitted to the pension area of Jiangmen Xinhui District Hospital of Traditional Chinese Medi-cine from January 2022 to April 2023 were taken and divided into observation group and control group with 31 cases in each group by random number table method.All patients were monitored for blood glucose,and the control group was managed with conventional management,while the observation group was managed with systematic chronic dis-ease management on this basis.Blood glucose,self-management ability,and the occurrence of adverse reactions were compared between the two groups before and after management.Results There was no statistically significant differ-ence in plasma glucose between the two groups before management(P>0.05);After management,fasting plasma glu-cose and blood glucose after 2-hour of meal returned to normal level in the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant dif-ference in self-management ability between the two groups before management,both of which were poor(P<0.05).Af-ter management,the scores of the observation group were higher than the control group,and the differences were statis-tically significant(P<0.05).Only one patient in the observation group had adverse reactions,which was less than the seven cases in the control group,and the difference was statistically significant(P<0.05).Conclusion The systematic chronic disease management mode of combined medical and nursing mode can help patients'blood glucose indexes re-turn to normal faster and reduce the incidence of hypoglycemia,and at the same time,it can also improve the daily self-management ability of the elders and reduce the incidence of adverse reactions,so it is a high-quality and safe management mode,which is worth to be applied and popularized in the clinic.