社区-医院一体化管理模式对糖尿病患者影响的研究

Effect of integrated community-hospital management mode on patients with diabetes mellitus

目的探讨社区-医院一体化管理模式对糖尿病患者的影响。方法将本社区卫生服务中心就诊的140例糖尿病患者随机分为对照组和观察组各70例,前者采取普通管理,后者给予社区-医院一体化管理模式,对比2组患者糖化血红蛋白及空腹血糖水平。结果对照组患者给予常规管理,半年后平均空腹血糖为(7.38±1.87)mmol/L,观察组给予社区-医院一体化管理模式半年后患者平均空腹血糖水平为(5.84±0.53)mmol/L,2组比较差异有统计学意义(P=0.023);对照组患者半年后糖化血红蛋白水平为(8.12±2.89)mmol/L,观察组半年后患者糖化血红蛋白水平为(6.34±1.35)mmol/L,2组比较差异有统计学意义(P=0.031)。结论社区-医院一体化管理模式能明显改善糖尿病患者不良饮食习惯,并且能有效降低血糖及糖化血红蛋白水平。

Objective To explore the effect of integrated community-hospital management mode on patients with diabetes. Methods A total of 140 diabetic patients were randomly divided into 2 groups, the control group(70 cases)were treated with common management, the trial group(70 cases) were given the community-hospital integrated management mode, and fasting blood glucose and saccharification hemoglobin levels were detected and the results were compared between the two groups. Results Six months later, the average levels of fasting blood glucose were(7.38±1.87) mmol/L in the control group and(5.84±0.53) mmol/L in the trial group, respectively, and there was a significant difference between two groups(P =0.023); the average levels of saccharification hemoglobin were(8.12 ±2.89) % in the control group and(6.34±1.35) % in the trial group, respectively, and there was a significant difference between two groups(P=0.031). Conclusion The community-hospital integrated management model can significantly improve the unhealthy dietary habits of patients with diabetes, and effectively reduce the blood glucose and glycated hemoglobin levels.