中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
33期
4034-4038
,共5页
刘波%张剑敏%王博%周尊海
劉波%張劍敏%王博%週尊海
류파%장검민%왕박%주존해
糖尿病,2 型%自我管理%三位一体模式%社区卫生服务
糖尿病,2 型%自我管理%三位一體模式%社區衛生服務
당뇨병,2 형%자아관리%삼위일체모식%사구위생복무
Diabetes mellitus,type 2%Self - management%Trinity model%Community health services
目的：探究以政府部门主导、社区医疗机构支撑、社区组织协作的三位一体模式的2型糖尿病自我管理效果。方法2013年2—8月在长白新村街道社区共选取符合纳入与排除标准的2型糖尿病患者845例。以三位一体模式为平台，居住地居委会为单位，将患者通过计算机简单随机抽样法以15～20例分到糖尿病自我管理小组。采取定期授课、定期指导和定期互动的方式，对患者进行糖尿病自我管理指导。比较干预前后患者糖尿病核心知识知晓率、健康生活基本知识知晓率、健康生活方式行为形成率、血压、体质指数、空腹血糖水平、理想血压控制率、空腹血糖水平控制率。结果全程参与糖尿病自我管理小组患者815例，全程参与率96.4％（815/845）。共发放调查问卷815份，回收有效问卷815份，有效回收率为100.0％。糖尿病核心知识知晓率和健康生活基本知识知晓率干预后均高于干预前，健康生活方式行为形成率干预后高于干预前（P ＜0.05）。干预后患者收缩压、舒张压、体质指数、空腹血糖水平均低于干预前，理想血压控制率、空腹血糖控制率均高于干预前（P ＜0.05）。结论糖尿病自我管理三位一体模式可以有效控制2型糖尿病发展，具有一定的推广价值。
目的：探究以政府部門主導、社區醫療機構支撐、社區組織協作的三位一體模式的2型糖尿病自我管理效果。方法2013年2—8月在長白新村街道社區共選取符閤納入與排除標準的2型糖尿病患者845例。以三位一體模式為平檯，居住地居委會為單位，將患者通過計算機簡單隨機抽樣法以15～20例分到糖尿病自我管理小組。採取定期授課、定期指導和定期互動的方式，對患者進行糖尿病自我管理指導。比較榦預前後患者糖尿病覈心知識知曉率、健康生活基本知識知曉率、健康生活方式行為形成率、血壓、體質指數、空腹血糖水平、理想血壓控製率、空腹血糖水平控製率。結果全程參與糖尿病自我管理小組患者815例，全程參與率96.4％（815/845）。共髮放調查問捲815份，迴收有效問捲815份，有效迴收率為100.0％。糖尿病覈心知識知曉率和健康生活基本知識知曉率榦預後均高于榦預前，健康生活方式行為形成率榦預後高于榦預前（P ＜0.05）。榦預後患者收縮壓、舒張壓、體質指數、空腹血糖水平均低于榦預前，理想血壓控製率、空腹血糖控製率均高于榦預前（P ＜0.05）。結論糖尿病自我管理三位一體模式可以有效控製2型糖尿病髮展，具有一定的推廣價值。
목적：탐구이정부부문주도、사구의료궤구지탱、사구조직협작적삼위일체모식적2형당뇨병자아관리효과。방법2013년2—8월재장백신촌가도사구공선취부합납입여배제표준적2형당뇨병환자845례。이삼위일체모식위평태，거주지거위회위단위，장환자통과계산궤간단수궤추양법이15～20례분도당뇨병자아관리소조。채취정기수과、정기지도화정기호동적방식，대환자진행당뇨병자아관리지도。비교간예전후환자당뇨병핵심지식지효솔、건강생활기본지식지효솔、건강생활방식행위형성솔、혈압、체질지수、공복혈당수평、이상혈압공제솔、공복혈당수평공제솔。결과전정삼여당뇨병자아관리소조환자815례，전정삼여솔96.4％（815/845）。공발방조사문권815빈，회수유효문권815빈，유효회수솔위100.0％。당뇨병핵심지식지효솔화건강생활기본지식지효솔간예후균고우간예전，건강생활방식행위형성솔간예후고우간예전（P ＜0.05）。간예후환자수축압、서장압、체질지수、공복혈당수평균저우간예전，이상혈압공제솔、공복혈당공제솔균고우간예전（P ＜0.05）。결론당뇨병자아관리삼위일체모식가이유효공제2형당뇨병발전，구유일정적추엄개치。
Objective To explore the effects of the trinity mode,which is leaded by governmental departments with the support of community medical settings and the coordination of community organizations,in the self - management of patients with type 2 diabetes in Changbai Community. Methods From February to August in 2013,we enrolled 845 patients with type 2 diabetes who accorded with the inclusion and exclusion criteria from Changbai Community. With the trinity mode as the platform and with a residential committee as a unit,every 15 to 20 patients were assigned into a diabetes self - management team. Regular lectures,guidance and interaction were carried out to provide guidance on the self - management of the patients. Comparison was made in the awareness rate of core knowledge about diabetes,the awareness rate of basic knowledge about healthy life,the rate of healthy life style,blood pressure,BMI,fast blood glucose,ideal rate of blood pressure control and fast blood glucose control rate between before and after intervention. Results The number of patients who attended the whole course of self - management was 815 with a rate of 96. 4% (815 / 845). A total of 815 questionnaires were distributed,and 815 questionnaires were returned with an effective returning rate of 100. 0% . The awareness rate of core knowledge of diabetes and the awareness rate of basic knowledge about healthy life after intervention were higher than those before intervention(P < 0. 05),and the rate of healthy life style after intervention was higher than that before intervention(P < 0. 05). Systolic pressure,diastolic pressure,BMI,fast blood glucose level after intervention were lower than those before intervention(P < 0. 05),and the ideal blood pressure control rate and fast blood glucose control rate after intervention were higher than those before intervention(P < 0. 05). Conclusion The guidance on the self - management of diabetes based on the trinity mode is effective for the control of type 2 diabetes and is worth promotion.
