医防融合模式下社区糖尿病患者健康管理效果评价

Evaluation on the Effect of Health Management of Community Diabetes Patients Under the Mode of Medical Prevention Integration

目的探讨医防融合健康管理模式在社区2型糖尿病患者中的应用效果。方法将上海市两个社区在册管理的糖尿病患者分别作为对照组和干预组。对照组实行常规管理,干预组实行医防融合健康管理,比较两组患者的健康管理效果。结果经过2年的干预,干预组患者的糖尿病知识知晓率明显高于对照组(P<0.05)。本底事件率比校正法结果显示,干预组患者的糖尿病控制行为增长率明显高于对照组(P<0.05)。对于原先血糖控制不良者,干预组患者经干预后血糖控制明显改善,而对照组患者则无明显改善。结论医防融合健康管理能更加有效地提高糖尿病患者的规范管理率、血糖控制率、糖化血红蛋白检测率、糖化血红蛋白控制率和相关知识的知晓率,故医防融合管理模式值得在社区推广使用。

Objective To explore the application effect of the health management model of medical and preventive integration in type 2 diabetes patients in the community.Methods The registered diabetes patients in two communities in Shanghai were taken as the control group and the intervention group respectively.The control group implemented routine management,while the intervention group implemented integrated medical and preventive health management.The health management outcomes of two groups of patients was compared.Results After 2 years of intervention,the awareness rate of diabetes knowledge in the intervention group was significantly higher than that in the control group(P<0.05).The results of prior event rate ratio adjustment showed that the growth rate of diabetes control behavior in the intervention group was significantly higher than that in the control group(P<0.05).For patients with poor blood glucose control,the intervention group showed significant improvement in blood glucose control after intervention,while the control group did not show significant improvement.Conclusion The health management of medical and prevention integration can more effectively improve the standardized management rate,blood sugar control rate,glycosylated hemoglobin detection rate,glycosylated hemoglobin control rate and related knowledge awareness rate of diabetes patients,so the medical and prevention integration management model is worth promoting in community.