CAJ | 학술논문

目的：研究社区糖尿病患者运用社区一医院糖尿病一体化信息系统进行管理的应用，观察其效用，并为进一步完善糖尿病管理工作提出有效建议。方法从本社区居民电子健康信息档案数据库中选取2014年1月～2015年1月期间糖尿病管理项目中全部管理对象的基本信息，以及这些对象的所有随访信息，分析阂行区糖尿病人群特征以及糖尿病管理的现况、效果及影响因素。结果分析发现年龄增长（＞50岁）、接受群组随访、上门随访和进行重度体育锻炼为2型糖尿病患者血糖控制达标的危险因素；病程延长（超过7年）、超重和肥胖不利于2型糖尿病患者血糖控制达标。病程超过1年、接受群组随访、不使用药物治疗有利于糖耐量异常患者向糖代谢正常转化。结论对社区糖尿病患者运用社区一医院糖尿病一体化信息系统进行管理，对疾病的控制有良好的效果，有助于强化了社区医疗机构在糖尿病筛查中的作用。
목적：연구사구당뇨병환자운용사구일의원당뇨병일체화신식계통진행관리적응용，관찰기효용，병위진일보완선당뇨병관리공작제출유효건의。방법종본사구거민전자건강신식당안수거고중선취2014년1월～2015년1월기간당뇨병관리항목중전부관리대상적기본신식，이급저사대상적소유수방신식，분석애행구당뇨병인군특정이급당뇨병관리적현황、효과급영향인소。결과분석발현년령증장（＞50세）、접수군조수방、상문수방화진행중도체육단련위2형당뇨병환자혈당공제체표적위험인소；병정연장（초과7년）、초중화비반불리우2형당뇨병환자혈당공제체표。병정초과1년、접수군조수방、불사용약물치료유리우당내량이상환자향당대사정상전화。결론대사구당뇨병환자운용사구일의원당뇨병일체화신식계통진행관리，대질병적공제유량호적효과，유조우강화료사구의료궤구재당뇨병사사중적작용。
Objective To study management application effect of Community-Integrated Hospital for Community diabetes,to give good advice for improving furtherly management of diabetes soil. Methods Diabetes management program from January 2014 to January 2015 were selected in the basic information of all managed objects,and status of people with diabetes and diabetes management features,effects and influencing factorsthey were analyzed in Minhang District diabetic. Results Age (over 50 years),accept the group follow-up,follow-up and carried home,severe physical exercise were risk factors for patients with 2type diabetes blood sugar control standard;Duration of more than one year,to accept the group follow-up,do not use drug were beneficial for tolerance to normalthe. Conclusion Community-a community hospital in diabetic patients with diabetes to manage the integration of information systems,the control of the disease has a good effect,helps to strengthen the role of community health care institutions in diabetes screening.