摘要
目的探究社区慢病管理在2型糖尿病患者中的应用效果。方法将2018年1月—2019年1月期间社区卫生服务中心管理的360例2型糖尿病患者作为研究对象,经诊断所有患者均被确诊。采用数字随机法将所有患者随机分至两组,研究组患者治疗期间实施社区规范化慢病管理,对照组患者治疗期间实施常规护理管理,干预后对两组患者血糖、生活质量及护理满意度情况进行评估。结果干预后两组患者FPG、2 h PBG及HbA1C水平均有所降低,但研究组患者各项指标降低幅度更为明显,数据经检验,差异具有统计学意义(t=5.73,3.26,8.31,P<0.05);干预后两组患者SF-36评分均有所改善,但研究组患者改善幅度更为显著,数据经检验,差异具有统计学意义(t=12.70,P<0.05);研究组患者非常满意率(52.78%)和总满意率(96.67%)显著高于对照组患者非常满意率(36.11%)和总满意率(83.33%),数据经检验,差异具有统计学意义(χ^2=10.13、17.78,P<0.05)。讨论在2型糖尿病患者治疗期间实施社区规范化慢病管理,可有效改善患者血糖水平,提高患者生活质量,效果显著,值得推广。
Objective To explore the efficacy of communitybased chronic disease management in patients with type 2 diabetes.Methods The 360 patients with type 2 diabetes admitted to our community health service station from January 2018 to January 2019 were taken as the research objects,and they were randomly assigned to replacements.The patients in the study group were treated with chronic disease management in the community and changed to patients During the treatment,routine nursing management will be implemented.After the intervention,the patients'blood glucose,quality of life and acceptable nursing care will be evaluated.Results After intervention,the levels of FPG,2 h PBG and HbA1C in diabetic patients were reduced,but the decrease in the index of patients in the study group was more obvious.The data were statistically significant after examination(t=5.73,3.26,8.31,P<0.05);after the intervention;Patients with SF-36 scores combined improved,but the improvement in patients in the study group was more significant,and the data were statistically significant(t=12.70,P<0.05);the patients in the study group were very satisfied(52.78%)and the total The satisfaction rate(96.67%)was significantly higher than the very satisfactory rate(36.11%)and the total satisfaction rate(83.33%)of other patients.The data were statistically significant(χ²=10.13,17.78,P<0.05).Conclusion The implementation of community chronic disease management during the treatment of patients with type 2 diabetes can effectively improve the blood glucose level of patients and improve the quality of life of patients.The effect is significant and worthy of promotion.
作者
汪勇俊
朱志霞
WANG Yongjun;ZHU Zhixia(Department of Public Health,Chongqing Southeast Hospital,Chongqing 401336,China)
出处
《中国继续医学教育》
2020年第31期180-183,共4页
China Continuing Medical Education
关键词
2型糖尿病
社区慢病管理
血糖水平
生活质量
满意度
应用效果
type 2 diabetes
community chronic disease management
blood sugar level
quality of Life
satisfaction
application effect
