摘要
目的分析慢性病管理模式在社区糖尿病合并高血压患者中的应用效果。方法选择郑州交通医院2020年7至2022年7月收治的82例糖尿病合并高血压患者作为研究对象,采用区间随机法分为对照组与实验组(各41例),其中对照组接受常规慢性病社区咨询服务,实验组在常规慢性病社区咨询服务基础上应用慢性病管理模式。比较两组干预前后血压、血糖控制情况、生活质量、遵医行为评分变化情况。结果干预前,两组血压、血糖比较,差异无统计学意义(P>0.05);干预后,实验组收缩压、舒张压、空腹血糖、餐后2 h血糖低于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较,差异无统计学意义(P>0.05);干预后,实验组生理功能、精神、社会、总体健康、生理职能、情感、躯体方面的评分高于对照组,差异有统计学意义(P<0.05)。干预前,组间遵医行为评分比较,差异无统计学意义(P>0.05);干预后,实验组情绪管理、饮食、用药、运动评分高于对照组,差异有统计学意义(P<0.05)。结论对社区糖尿病合并高血压患者实施慢性病管理模式有利于控制患者血压与血糖,同时可提升患者生活质量,规范其遵医行为。
Objective To analyze the effect of chronic disease management model in community diabetes patients with hypertension.Methods A total of 82 patients with diabetes and hypertension admitted to Zhengzhou Communications Hospital from July 2020 to July 2022 were selected as the study subjects.They were divided into the control group and the experimental group(41 cases each)by interval random method.The control group received routine chronic disease community counseling services,and the experimental group applied the chronic disease management model on the basis of routine chronic disease community counseling services.The changes in blood pressure,blood sugar control,quality of life,and compliance behavior scores between the two groups before and after intervention were compared.Results Before the intervention,there was no statistically significant difference in blood pressure and blood glucose between the two groups(P>0.05);After intervention,the systolic blood pressure,diastolic blood pressure,fasting blood glucose,and 2-hour postprandial blood glucose in the experimental group were significantly lower than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in the quality of life scores between the two groups(P>0.05);After intervention,the scores of physiological function,mental,social,overall health,physiological function,emotion,and physical aspects in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the scores of compliance behavior between groups(P>0.05);After intervention,the scores of emotional management,diet,medication,and exercise in the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The implementation of the chronic disease management model for diabetes patients with hypertension in the community is conducive to the control of blood
作者
马华
MA Hua(Department of Public Health,Zhengzhou University Road Community Health Service Center,Zhengzhou Traffic Hospital,Zhengzhou Henan 450052,China)
出处
《临床研究》
2023年第7期150-153,共4页
Clinical Research
关键词
慢性病管理模式
糖尿病
高血压
遵医行为
生活质量
chronic disease management model
diabetes
hypertension
medical compliance behavior
quality of Life
