摘要
目的 :探索家庭医生在诊疗过程中对签约糖尿病患者实施血糖监测认知指导的效果。方法 :家庭医生在诊疗中对555名社区签约糖尿病患者进行四项血糖监测知识的指导。每月1次,每次一项知识,每次3～5分钟,共6次;对指导前和完成6次指导后进行知识问卷测评。结果 :指导后,知晓血糖监测四个单项知识的人数比例分别比指导前上升了23%、21.2%、22%和19.4%,差别有统计学意义(P <0.001);知晓3项和知晓4项的比例分别上升了8.1%和21.4%,差别均具有统计学意义(P <0.001);定期血糖监测人数较指导前提升了5.2%。结论 :家庭医生在诊疗中对签约糖尿病患者实施血糖监测认知指导是可行的,对提高患者定期监测血糖认知和行为具有促进作用。
Objective:To explore the effect of family doctors in the implementation of blood glucose monitoring cognitive guidance for the contracted diabetic patients in the diagnosis and treatment process.Methods:Family doctors conducted four blood glucose monitoring knowledge guidelines for555community contracted diabetic patients in the diagnosis and treatment.The knowledge guideline was conducted by the family doctors once a month,and one item of knowledge was for3~5minutes each time,a total of6times;knowledge questionnaire evaluation was conducted before and after the6guidance.Results:After the guidance:the proportion of people who knew the four items of individual knowledge of blood glucose monitoring increased by23%,21.2%,22%and19.4%,respectively compared to the previous guidance,and the differences were statistically significant(P<0.001);the proportion of3items and4items increased by8.1%and21.4%,respectively,and the differences were statistically significant(P<0.001);the number of people having regular blood glucose monitoring increased by5.2%compared to the previous guidance.Conclusion:It is feasible for family doctors to implement cognitive guidance on blood glucose monitoring for the contracted diabetic patients in the diagnosis and treatment,which has a role in promoting the patients to improve their cognition of regular monitoring of blood glucose and behavior.
作者
张引
徐学凡
刘怡
ZHANG Yin;XU Xuefan;LIU Yi(Public Health Department of Tianmuxilu Community Health Service Center of Jingan Distract, Shanghai 200070, China)
出处
《上海医药》
CAS
2018年第24期43-45,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
家庭医生
诊疗过程
血糖监测认知指导
效果
family doctor
diagnosis and treatment process
cognitive guidance of blood glucose monitoring
effect
