摘要
目的了解宜宾城区糖尿病患者社区管理的应用效果,探讨糖尿病社区管理的新模式。方法于2017年1月至2017年6月抽取宜宾城区建立糖尿病健康档案的患者219例为社区管理组,选择同期于宜宾市第一人民医院住院治疗的糖尿病患者150例为对照组,分别采用全面综合社区管理模式和普通院外管理模式进行糖尿病家庭管理,观察其血糖和糖化血红蛋白、血糖控制情况和膳食依从性情况等。结果早中晚三餐餐后血糖和午、晚餐餐前血糖差异均有统计学意义(P<0.05),管理3月后和6月后两组患者HbAlc差异有统计学意义(P<0.05)。除生存技能两组差异无统计学意义外,自觉症状、生活习惯、治疗情况、治疗目标、疾病知识和CSSD总分社区管理组高于医院管理组(P<0.05)。两组患者膳食总能量和碳水化合物摄入量高于推荐量,医院管理组高于社区干预组,膳食纤维却远低于推荐量,医院管理组低于社区干预组(P<0.05)。结论综合性社区管理模式对糖尿病患者血糖控制和膳食依从性有着积极作用,值得在社区和基层推广。
Objective To observe the applied effect of community management among diabetes mellitus(DM)patients in Yibin urban area,and explore a novel mode for DM community management.Methods From January to June 2017,219 DM patients were selected from 5 community health centers in Yibin urban area as community management group(CM),150 DM inpatients from Yibin No.1 Peoples’Hospital were selected as control group,patients in 2 groups were conducted comprehensive community management mode and normal out-hospital management mode respectively,and finally blood glucose,glycosylated hemoglobin(HbAlc),control status scale for diabetes score(CSSD)and dietary compliance were observed.Results The difference of postprandial blood glucose(PBG)were observed after breakfast,lunch and dinner,and the difference of fasting blood glucose(FBG)were observed before lunch and dinner(P<0.05).The difference of HbAlc were observed between 2 groups after management for 3 months and 6 months(P<0.05).Besides survival skills,subjective symptoms,life custom,treatment situation,target of treatment,knowledge of disease and CSSD total score were observed a significant difference with CM group higher than control group(P<0.05).Total energy and carbohydrate intakes in 2 groups were higher than recommended intakes(RNIs)with CM group lower than control group,while dietary fiber intakes were significantly lower than RNIs with CM group higher than control group(P<0.05).Conclusion Comprehensive community management plays a positive role in glycemic control and dietary compliance of DM patients,and is worthy to promote in communities and grass-roots units.
作者
肖翔
蒋其武
XIAO Xiang;JIANG Qiwu(Department of Nursing,Yibin Health School,Yibin Sichuan 644000,China)
出处
《河南预防医学杂志》
2019年第5期331-334,共4页
Henan Journal of Preventive Medicine
关键词
糖尿病
社区管理
效果
diabetes mellitus(DM)
community management
effects