国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
17期
2763-2766
,共4页
社区服务团队%糖尿病%规范管理%临床分析
社區服務糰隊%糖尿病%規範管理%臨床分析
사구복무단대%당뇨병%규범관리%림상분석
Community service team%Diabetes mellitus%Standard management%Clinical analysis
目的 研究社区医疗机构服务团队对糖尿病患者的规范管理,探讨社区服务对糖尿病患者的影响.方法 选择2011年3月至2012年3月首次在社区治疗的200例2型老年糖尿病患者,将其随机分为对照组和实验组,各100例.对照组采用常规社区护理管理,实验组首先建立社区服务团队,分工开展规范管理.比较两组患者实验前及实验后1年的空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)、体质指数(BMI)等指标,分析遵医行为和日常生活行为的改变以及患者对糖尿病相关知识的掌握情况和患者遵医率、满意率、幸福指数.结果 实验组患者FBG、2hPG、HbA1c和BMI各项指标的平均值分别为(6.9±1.0)mmol/L、(7.3±1.3)mmol/L、(6.4±0.8)％、(21.8±2.6)kg/m2,均明显低于对照组；实验组日常不良生活习惯有较大改善,对糖尿病相关知识掌握情况良好；实验组患者遵医率、满意度和幸福指数分别为82％、88％、79％,明显高于对照组的74％、71％、65％；两组比较差异均有统计学意义(P＜0.05).结论 社区服务团队对社区糖尿病病人进行规范管理,能提高患者的自我保健意识,对控制2型糖尿病患者的病情有重要意义.
目的 研究社區醫療機構服務糰隊對糖尿病患者的規範管理,探討社區服務對糖尿病患者的影響.方法 選擇2011年3月至2012年3月首次在社區治療的200例2型老年糖尿病患者,將其隨機分為對照組和實驗組,各100例.對照組採用常規社區護理管理,實驗組首先建立社區服務糰隊,分工開展規範管理.比較兩組患者實驗前及實驗後1年的空腹血糖(FBG)、餐後2h血糖(2hPG)、糖化血紅蛋白(HbA1c)、體質指數(BMI)等指標,分析遵醫行為和日常生活行為的改變以及患者對糖尿病相關知識的掌握情況和患者遵醫率、滿意率、倖福指數.結果 實驗組患者FBG、2hPG、HbA1c和BMI各項指標的平均值分彆為(6.9±1.0)mmol/L、(7.3±1.3)mmol/L、(6.4±0.8)％、(21.8±2.6)kg/m2,均明顯低于對照組；實驗組日常不良生活習慣有較大改善,對糖尿病相關知識掌握情況良好；實驗組患者遵醫率、滿意度和倖福指數分彆為82％、88％、79％,明顯高于對照組的74％、71％、65％；兩組比較差異均有統計學意義(P＜0.05).結論 社區服務糰隊對社區糖尿病病人進行規範管理,能提高患者的自我保健意識,對控製2型糖尿病患者的病情有重要意義.
목적 연구사구의료궤구복무단대대당뇨병환자적규범관리,탐토사구복무대당뇨병환자적영향.방법 선택2011년3월지2012년3월수차재사구치료적200례2형노년당뇨병환자,장기수궤분위대조조화실험조,각100례.대조조채용상규사구호리관리,실험조수선건립사구복무단대,분공개전규범관리.비교량조환자실험전급실험후1년적공복혈당(FBG)、찬후2h혈당(2hPG)、당화혈홍단백(HbA1c)、체질지수(BMI)등지표,분석준의행위화일상생활행위적개변이급환자대당뇨병상관지식적장악정황화환자준의솔、만의솔、행복지수.결과 실험조환자FBG、2hPG、HbA1c화BMI각항지표적평균치분별위(6.9±1.0)mmol/L、(7.3±1.3)mmol/L、(6.4±0.8)％、(21.8±2.6)kg/m2,균명현저우대조조；실험조일상불량생활습관유교대개선,대당뇨병상관지식장악정황량호；실험조환자준의솔、만의도화행복지수분별위82％、88％、79％,명현고우대조조적74％、71％、65％；량조비교차이균유통계학의의(P＜0.05).결론 사구복무단대대사구당뇨병병인진행규범관리,능제고환자적자아보건의식,대공제2형당뇨병환자적병정유중요의의.
Objective To explore the impact of community service on diabetic patients studying the service team of community medical institutions for the standard management of patients with diabetes.Methods From March 2010 to March 2011,200 elderly patients with type 2 diabetes treated in community for the first time were selected,and then were randomly divided a experimental group and a control group,100 cases for each group.The control group received routine community nursing management.Firstly,a community service team was established,then the standard management was divided to carry out in the experimental group.The FBG,2hPG,HbA1c,and BMI et al.of both groups were compared before and 1 year after the experiment.The changes of the compliance behavior and daily life behavior,the command of diabetic knowledge,the rate of treatment compliance,satisfaction rate,and happiness index were analyzed.Results The FBG,2hPG,HbA1c,and BMI of the experimental group were(6.9 ± 1.0)mmol/L,(7.3 ± 1.3)mmol/L,(6.4± 0.8)％,and(21.8 ± 2.6)kg/m2,which were obviously lower than that of the control group.The experimental group had great improvement in unhealthy living habits and good command of diabetic knowledge.The rate of treatment compliance,satisfaction rate,and happiness index were 82％,88％,and 79％in the experimental group and 74％,71％,and 65％ in the control group,with statistical differences between the 2 groups(P ＜0.05).Conclusions The standard management of community service team for diabetic patients in community can increase the patients' self-care consciousness and play an important role in controlling the conditions of the patients with type 2 diabetes.
