中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
5期
301-304
,共4页
糖尿病,2型%药物治疗依从性%健康管理
糖尿病,2型%藥物治療依從性%健康管理
당뇨병,2형%약물치료의종성%건강관리
Diabetes mellitus,type 2%Medication adherence%Health management
目的 探讨家庭健康管理对社区2型糖尿病服药依从性的影响.方法 居住在上海市青浦区徐泾镇徐安居委豪都小区符合WHO诊断标准已确诊为2型糖尿病患者123例,年龄50～75岁,其中男性60例,女性63例,平均年龄(63.9±6.9)岁,病程(10.0±7.4)年,建立家庭健康档案、制定个性化家庭健康管理措施,进行为期2年的干预,对干预前后患者的服药依从性,以及血压、血糖、血脂控制情况进行评估.结果 123例2型糖尿病患者干预后服药依从率(77.1％,94/122,干预期间死亡1例)高于干预前(62.6％,77/123),差异有统计学意义(x2=6.06,P＜0.05).干预后血压达标率(51.6％,63/122),血糖达标率(44.3％,54/122),总胆固醇达标率(72.1％,88/122),三酰甘油达标率(61.5％,75/122),低密度脂蛋白达标率(75.4％,92/122)均高于干预前[血压达标率36.6％ (45/123),血糖达标率28.5％(35/123),总胆固醇达标率59.3％(73/123),三酰甘油达标率47.9％(59/123),低密度脂蛋白达标率65.0％ (80/123)],干预前后比较差异有统计学意义(x2值分别为5.63、6.61、4.44、4.51、3.97,P均＜0.05).结论 社区家庭健康管理可以提高2型糖尿病患者的服药依从性,提高血压、血糖、血脂达标率.
目的 探討傢庭健康管理對社區2型糖尿病服藥依從性的影響.方法 居住在上海市青浦區徐涇鎮徐安居委豪都小區符閤WHO診斷標準已確診為2型糖尿病患者123例,年齡50～75歲,其中男性60例,女性63例,平均年齡(63.9±6.9)歲,病程(10.0±7.4)年,建立傢庭健康檔案、製定箇性化傢庭健康管理措施,進行為期2年的榦預,對榦預前後患者的服藥依從性,以及血壓、血糖、血脂控製情況進行評估.結果 123例2型糖尿病患者榦預後服藥依從率(77.1％,94/122,榦預期間死亡1例)高于榦預前(62.6％,77/123),差異有統計學意義(x2=6.06,P＜0.05).榦預後血壓達標率(51.6％,63/122),血糖達標率(44.3％,54/122),總膽固醇達標率(72.1％,88/122),三酰甘油達標率(61.5％,75/122),低密度脂蛋白達標率(75.4％,92/122)均高于榦預前[血壓達標率36.6％ (45/123),血糖達標率28.5％(35/123),總膽固醇達標率59.3％(73/123),三酰甘油達標率47.9％(59/123),低密度脂蛋白達標率65.0％ (80/123)],榦預前後比較差異有統計學意義(x2值分彆為5.63、6.61、4.44、4.51、3.97,P均＜0.05).結論 社區傢庭健康管理可以提高2型糖尿病患者的服藥依從性,提高血壓、血糖、血脂達標率.
목적 탐토가정건강관리대사구2형당뇨병복약의종성적영향.방법 거주재상해시청포구서경진서안거위호도소구부합WHO진단표준이학진위2형당뇨병환자123례,년령50～75세,기중남성60례,녀성63례,평균년령(63.9±6.9)세,병정(10.0±7.4)년,건립가정건강당안、제정개성화가정건강관리조시,진행위기2년적간예,대간예전후환자적복약의종성,이급혈압、혈당、혈지공제정황진행평고.결과 123례2형당뇨병환자간예후복약의종솔(77.1％,94/122,간예기간사망1례)고우간예전(62.6％,77/123),차이유통계학의의(x2=6.06,P＜0.05).간예후혈압체표솔(51.6％,63/122),혈당체표솔(44.3％,54/122),총담고순체표솔(72.1％,88/122),삼선감유체표솔(61.5％,75/122),저밀도지단백체표솔(75.4％,92/122)균고우간예전[혈압체표솔36.6％ (45/123),혈당체표솔28.5％(35/123),총담고순체표솔59.3％(73/123),삼선감유체표솔47.9％(59/123),저밀도지단백체표솔65.0％ (80/123)],간예전후비교차이유통계학의의(x2치분별위5.63、6.61、4.44、4.51、3.97,P균＜0.05).결론 사구가정건강관리가이제고2형당뇨병환자적복약의종성,제고혈압、혈당、혈지체표솔.
Objective To explore the effect of family health management on community type 2 diabetes medication compliance.Methods Totally 123 patients with type 2 diabetes who live in Shanghai City Qingpu District Xujing Town An Ju Wei Hao Xiao Qu and met the WHO diagnostic criteria for type 2 diabetes were enrolled into this study.The patients' age was 50-75 years,including 60 male,63 female cases,mean age was (63.9 ± 6.9),(10.0 ± 7.4) years,course of disease,a family health file,making personalized home health management measures of community were analyzed.The effects of the 2 years of intervention on the compliance of the patients before and after the intervention as well as the blood pressure,blood glucose,blood lipid control were evaluated.Results The treatment compliance rate was (77.1％,94/122,intervention 1 cases died) significantly higher after intervention than that before intervention (62.6％,77/123) (x2=6.06,P＜0.05).After the intervention,the rate of target achievement in blood pressure (51.6％,63/122),blood glueose (44.3％,54/122),total cholesterol (72.1％,88/122),triglyceride (61.5％,75/122) low density lipoprotein (75.4％,92/122) were higher than those before intervention [blood pressure standard rate of 36.6％ (45/123),blood glucose standard rate of 28.5％ (35/123),total cholesterol standard rate of 59.3％ (73/123),triglyceride standard rate of 47.9％ (59/123),low density lipoprotein standard rate of 65.0％ (80/123)],the differences were statistically significant (x2=5.63,6.61,4.44,4.51,3.97,P＜0.05).Conclusion Community and family health management can improve the medication compliance in patients with type 2 diabetes.
