摘要
目的探讨家庭医生个性化管理对2型糖尿病患者生活质量及血糖、血脂、血压控制达标率的影响。方法选取北京市朝阳区将台社区卫生服务中心2019年1月至2020年1月收治的2型糖尿病患者87例作为研究对象,采用随机数字表法将患者分为观察组(45例)和对照组(42例),对照组按照常规社区糖尿病随访管理措施进行干预,观察组在对照组基础上增加家庭医生个性化管理进行干预,干预期限均为1年,比较两组患者干预前(入组时)和干预后(干预1年后)生活质量,血糖、血脂、血压联合达标情况。结果干预前两组生活质量特异性量表(DSQL)的治疗、社会关系、心理、生理4个维度及总评分比较,差异均无统计学意义(P>0.05),两组干预后评分均明显低于同组干预前,观察组各维度及总评分均明显低于对照组,差异有统计学意义(P<0.05)。干预前两组血糖、血脂、血压达标率及联合达标率比较,差异均无统计学意义(P>0.05),干预后对照组分别为69.05%、40.48%、57.14%、21.43%,干预后观察组分别为84.44%、51.11%、64.44%、31.11%,两组干预后均高于同组干预前,且观察组均明显高于对照组,差异有统计学意义(P<0.05)。结论对2型糖尿病患者开展家庭医生个性化管理可提高患者生活质量,改善血糖、血脂、血压达标率及联合达标率。
Objective To explore the effect of personalized management of family physicians on the quality of life,blood glucose,blood lipid and blood pressure control of patients with type 2 diabetes.Methods A total of 87 patients with type 2 diabetes admitted to Jiangtai Community Health Service Center,Chaoyang District,Beijing,from January 2019 to January 2020 were selected as the research objects.The patients were randomly divided into the observation group(n=45)and the control group(n=42).The control group was intervened according to the conventional community diabetes follow-up management measures,and the observation group was intervened by adding personalized management of family physicians on the basis of the control group.The quality of life,blood glucose,blood lipid and blood pressure of the two groups before and after the intervention were compared.Results There was no significant difference in the treatment,social relationship,psychology,physiology and total score of DSQL between the two groups before intervention(all P>0.05).After intervention,scores of the two groups were significantly lower than those before intervention(P<0.05),and all scores of the observation group were significantly lower than those of the control group(P<0.05).There was no significant difference in control rate of blood glucose,blood lipid,blood pressure and their combined control rate between the two groups before the intervention(P>0.05).After the intervention,above control rates of the control group were 69.05%,40.48%,57.14%,21.43%,respectively;and those of the observation group were 84.44%,51.11%,64.44%,31.11%,respectively.The control rates of both groups were increased aftert intervention,and the rates of the observation group were all higher than those of the control group(P<0.05).Conclusion Personalized management of family physicians for patients with type 2 diabetes can improve the quality of life of patients,improve the control rate of blood glucose,blood lipid,blood pressure and their combined control rate.
作者
王长海
WANG Chang-hai(Depatment of General Medicine,Jiangtai Community Health Service Center,Chaoyang District,Beijing 100016,China)
出处
《慢性病学杂志》
2021年第7期996-1000,共5页
Chronic Pathematology Journal
关键词
糖尿病
家庭医生
健康管理
血糖
社区卫生服务
Diabetes
Family doctor
Health management
Blood glucose
Community sanitation service
