全科医生糖尿病亚专长在基层发展的成效探讨

Effectiveness of general practitioner with special interest in diabetes in the development of grassroots community

目的探讨全科医生糖尿病亚专长在基层发展的实用性,以及发展全科医学亚专长的必要性。方法建立全科医生糖尿病亚专长发展团队,对辖区内随机抽取的5个社区卫生服务站中建档的2型糖尿病患者156人进行干预(干预组),另抽取5个社区卫生服务站中建档的2型糖尿病患者184人不做干预(对照组),干预前后跟踪调查2型糖尿病患者静脉空腹血糖达标率、糖化血红蛋白达标率和糖尿病知识问卷调查评分。结果干预后,干预组静脉空腹血糖达标率、糖化血红蛋白达标率比对照组明显升高(χ~2分别=95.66、89.31,P均<0.05),且干预组糖尿病认知程度问卷调查评分明显高于对照组,差异有统计学意义(t=71.57,P<0.05)。结论基层全科医生糖尿病亚专长发展可有效控制糖尿病进展,提高患者的认知率和依从性,同时方便了基层百姓治疗。

Objective To explore the practicality and necessity of general practitioner with special interest in diabetes in the development of grassroots community. Methods A development team of general practitioner with special interest in diabetes was established for intervening the 156 patients with type Ⅱdiabetes who were collected randomly from 5 community health service stations.While 184 patients without intervention collected randomly from another 5 community health service stations as control group.The target rates of fasting blood glucose and glycosylated hemoglobin,and questionnaire score of diabetes knowledge before and after intervention were followed-up. Results After intervention,the target rates of fasting blood glucose and glycosylated hemoglobin were significantly higher than those of control group(χ~2=95.66,89.31,P<0.05).And the score of the diabetes cognition degree of the intervention group was significantly higher than that of control group(t=71.57,P<0.05).Conclusion The development of general practitioner with special interest in diabetes can effectively control the progress of diabetes,improve the patients’ cognitive rate and compliance,and facilitate the therapy.