CAJ | 학술논문

目的：探讨社区家庭健康支持系统对社区糖尿病患者病情控制的影响。方法以我院所在地福田区的翠海社区糖尿病患者(观察组，n=92)和碧海云天社区的糖尿病患者(对照组，n=81)为研究对象，对照组予规范化管理的模式，观察组在此基础上加强对患者家庭成员的糖尿病预防保健知识健康教育，比较两组患者和家属的糖尿病健康知识知晓率、患者血糖及糖化血红蛋白控制情况。结果干预1年后，观察组患者及家属糖尿病健康知识知晓率为86.96%、83.70%，患者血糖达标率为53.35%，均明显高于对照组的74.07%、70.37%、37.04%，差异均有统计学意义(P<0.05)；观察组患者空腹血糖、餐后2 h血糖及糖化血红蛋白水平均明显低于对照组，总体生活质量评分明显高于对照组，差异均有统计学意义(P<0.05)。结论社区家庭健康支持系统可明显提高患者及患者家属对糖尿病健康知识的知晓率，进而提高糖尿病患者血糖达标率、更加有效的控制血糖在理想范围，减少并发症的发生，改善患者生活质量。
목적：탐토사구가정건강지지계통대사구당뇨병환자병정공제적영향。방법이아원소재지복전구적취해사구당뇨병환자(관찰조，n=92)화벽해운천사구적당뇨병환자(대조조，n=81)위연구대상，대조조여규범화관리적모식，관찰조재차기출상가강대환자가정성원적당뇨병예방보건지식건강교육，비교량조환자화가속적당뇨병건강지식지효솔、환자혈당급당화혈홍단백공제정황。결과간예1년후，관찰조환자급가속당뇨병건강지식지효솔위86.96%、83.70%，환자혈당체표솔위53.35%，균명현고우대조조적74.07%、70.37%、37.04%，차이균유통계학의의(P<0.05)；관찰조환자공복혈당、찬후2 h혈당급당화혈홍단백수평균명현저우대조조，총체생활질량평분명현고우대조조，차이균유통계학의의(P<0.05)。결론사구가정건강지지계통가명현제고환자급환자가속대당뇨병건강지식적지효솔，진이제고당뇨병환자혈당체표솔、경가유효적공제혈당재이상범위，감소병발증적발생，개선환자생활질량。
Objective To investigate the impact of community home health support system in the disease con-trol in patients with diabetes. Methods Patients with diabetes in Cuihai community (observation group, n=92) and Bi-haiyuntian communities (control group, n=81) were studied. The control group was treated with standardized manage-ment model, and the observation group applied standardized management model combined with health education of dia-betes in family members. The knowledge awareness rate of patients and their families, glycemic and HbA1c control in pa-tients were compared between the two groups. Results After intervention for one year, the knowledge awareness rate of patients and their families in the observation group was 86.96% and 83.70%, and the blood glucose control rate was 53.35%, which were significantly higher than 74.07%, 70.37%, 37.04%in the control group (P<0.05). The fasting plas-ma glucose (FPG), 2 h postprand plasma glucose (2 hPG), HbAlc levels in the observation group were significantly lower, while the overall quality of life scores were significantly higher than the control group, with statistically significant differ-ences (P<0.05). Conclusion The community family support system can significantly improve the health of knowledge in patients and family members, improve the blood glucose standard rate, control the blood glucose in the ideal range, re-duce the complications, and also improve the quality of life.