CAJ | 학술논문

[目的]探索依托全科服务团队开展糖尿病眼病综合干预的模式，并评估综合干预的效果。[方法]开展为期2年的前瞻性队列研究，依托全科服务团队开展防盲、治盲与健康教育为一体的综合干预，以健康知识掌握、疾病管理能力、实验室指标变化、视力改善情况、糖尿病视网膜病变的变化情况为评价指标。[结果]干预组在健康知识掌握、疾病管理能力、实验室指标的改善、视力损伤的发生及糖尿病视网膜病变的控制等方面情况均优于对照组。[结论]让全科医生和专科医生参与到慢性病防治网络中的综合干预模式的效果是显著的。
[목적]탐색의탁전과복무단대개전당뇨병안병종합간예적모식，병평고종합간예적효과。[방법]개전위기2년적전첨성대렬연구，의탁전과복무단대개전방맹、치맹여건강교육위일체적종합간예，이건강지식장악、질병관리능력、실험실지표변화、시력개선정황、당뇨병시망막병변적변화정황위평개지표。[결과]간예조재건강지식장악、질병관리능력、실험실지표적개선、시력손상적발생급당뇨병시망막병변적공제등방면정황균우우대조조。[결론]양전과의생화전과의생삼여도만성병방치망락중적종합간예모식적효과시현저적。
[Objective] To explore and evaluate the mode of integrated intervention in diabetic eye disease by general service team . [ Methods ] Integrated intervention for prevention and treatment of blindness and health education were carried out by general service team through a 2-year prospective co-hort study .The evaluation was made with the indicators such as mastery of health knowledge , ability of dis-ease management , laboratory parameters change , vision improvement and changes of diabetic retinopathy . [ Results] It was found that 8 items on health knowledge , 6 items on ability of disease management , 3 laboratory parameters and condition in the control of visual impairment and diabetic retinopathy were all better in the intervention group than in the control group . [ Conclusion] The effect of integrated intervention mode is significant by general practitioners and specialists participating in chronic disease prevention network .