摘要
目的:探讨家庭医生签约式服务对2型糖尿病患者自我管理及生活质量改善的影响。方法:选择本院家庭医生团队2015年8月已签约管理的2型糖尿病患者100例为观察组,随机抽取没签约本院常规管理的患者100例为对照组。对照组采取常规随访和社区护理干预,观察组由村卫生站乡医作为本院家庭医生签约式的签约人,与患者家庭签订服务协议,并按照相关协议开展健康管理。比较两组干预前及干预后6个月患者的自我效能、自我管理行为和生活质量对2型糖尿病患者的影响。结果:干预6个月后,患者自我管理行为评分观察组优于对照组(P<0.05);患者生活质量评分观察组优于对照组(P<0.05);患者自我效能评分观察组明显高于对照组(P<0.05)。结论:采用家庭医生签约式服务能有效提高患者的自我效能和患者自我管理行为及生活质量。
Objective To investigate the effect of family doctor-service contract with type 2 diabetes self-management and improved quality of life. Methods A hospital type 2 diabetes family doctor team in August 2015 has signed management of 100 cases of observation group were randomly selected patients in our hospital did not sign a conventional management of 100 cases of the control group. Regular follow-up and take control of community nursing intervention group was observed by the village health of rural doctors station as my family doctor contracted hospital-style contractors, signed a service agreement with the patient＇s family, and carry out health management in accordance with the relevant agreement. Comparison of the two groups before the intervention and six months after the intervention the patient self-efficacy, self-management behavior and affect the quality of life in patients with type 2 diabetes. Results six months after the intervention, the patient self-management behaviors Rating observation group than the control group（P〈0.05）; quality of life scores in patients in the observation group than the control group（P〈0.05）; patient self-efficacy scores were significantly higher than those observed the control group（P〈0.05）. Conclusion The family doctor-service agency can effectively improve the efficiency and quality of patient selfmanagement behavior and self-life of patients.
出处
《深圳中西医结合杂志》
2016年第11期192-194,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
