CAJ | 학술논문

目的：探讨医院-社区-家庭三级健康管理模式对老年糖尿病患者治疗依从性及疗效的影响。方法于2011年9月至2013年8月，对120例接受社区门诊随诊的老年2型糖尿病患者进行跟踪随访，并将所有患者随机分为试验组和对照组，每组各60例。试验组采用医院-社区-家庭三级健康管理模式，对照组按常规方式管理。比较两组患者的治疗依从性、血糖控制水平和再住院次数。结果120例患者均完成为期2年的随访。试验组患者治疗依从性、血糖控制水平均明显优于对照组，再住院次数少于对照组，组间比较差异有统计学意义（P＜0．05）。结论医院-社区-家庭三级健康管理模式可明显提高老年糖尿病患者的治疗依从性，对糖尿病防控作用明显。
목적：탐토의원-사구-가정삼급건강관리모식대노년당뇨병환자치료의종성급료효적영향。방법우2011년9월지2013년8월，대120례접수사구문진수진적노년2형당뇨병환자진행근종수방，병장소유환자수궤분위시험조화대조조，매조각60례。시험조채용의원-사구-가정삼급건강관리모식，대조조안상규방식관리。비교량조환자적치료의종성、혈당공제수평화재주원차수。결과120례환자균완성위기2년적수방。시험조환자치료의종성、혈당공제수평균명현우우대조조，재주원차수소우대조조，조간비교차이유통계학의의（P＜0．05）。결론의원-사구-가정삼급건강관리모식가명현제고노년당뇨병환자적치료의종성，대당뇨병방공작용명현。
Objective To investigate the effects of hospital-community-family three-level health management model on the treatment compliance and efficacy in aged patients with diabetes mellitus .Methods From Sep .2011 to Aug .2013 ,a total of 120 aged patients with type 2 diabetes mellitus were followed up ,and randomly divided into ex-periment group and control group ,with 60 cases in each group .Hospital-community-family health management model was performed in experiment group ,and routine management was performed in control group .Treatment compliance , controlling condition of blood glucose level and times of rehospitalization were compared .Results All of the 120 pa-tients received follow-up of two years .Treatment compliance and controlling condition of blood glucose level of exper-iment group were superior to control group ,and times of rehospitalization was lower (P<0 .05) .Conclusion Hospi-tal-community-family three-level health management model could improve the treatment compliance of elderly pa-tients with diabetes mellitus ,which might have obvious effect on the treatment of diabetes mellitus .