摘要
目的了解和比较常规途径医院治疗糖尿病和社区糖尿病患者管理间的效果差异,为卫生政策制定提供科学依据。方法选取成都市1所二级医院和1所社区卫生服务中心的糖尿病患者为研究对象,开展为期1年5次追踪调查,了解患者知识、行为变化、空腹血糖、糖化血红蛋白指标值变化情况。结果医院组和社区组在干预后,其糖尿病防治知识和行为得分均比干预前有增加,差异有统计学意义。医院组空腹血糖平均值从基线的9.09mmol/L下降到终期评估的6.39mmol/L,控制达标率从27.00%上升到67.00%,差异有统计学意义;社区组空腹血糖平均值从基线的7.45mmol/L下降到终期评估的7.04mmol/L,控制达标率从49.52%上升到59.04%,差异无统计学意义。医院组糖化血红蛋白HbA1c平均值从基线的7.63%下降到治疗1年后的6.88%,达标率从61.61%上升为100%,变化均有统计学意义;社区组糖化血红蛋白HbA1c平均值基线为6.39%,管理1年后略有上升为6.50%,达标率从85.19%变为管理后的83.33%,变化均无统计学意义。基线时,在空腹血糖和HbA1c达标率上社区组好于医院组,差异有统计学意义;经治疗或管理后,空腹血糖与糖化血红蛋白HbA1c达标情况差异无统计学意义。结论在社区和医院稳定就诊1年的糖尿病患者,最终糖尿病控制率无明显差异,均取得良好效果。
Objective To evaluate the control effect of diabetes mellitus （DM） in hospital and community health centre （CHS）. Methods Patients with DM were selected from 1 second class hospital and 1 CHS in Chengdu, 1-year followed-up inves- tigation was implemented for the knowledge, behaviour, fasting blood-glucose （FBG） and glycosylated hemoglobin HbA1 c. Results At the 1-year followed-up, the DM prevention and cure knowledge and behaviour score had significantly increased in two groups. In hospital group, the mean of BFG had significantly decrease, from 9.09mmol/L at baseline to 6.39mmol/L at last sur- vey, the control rate of BFG had significantly increased, from 27% to 67%. In CHS group, there were from 7.45mmol/L to 7.04mmol/L, and from 49.52% to 59.04%, but the differences weren＇t significant. In hospital group, the mean of HbAlc had significantly decreased, from 7.63% to 6.88%, the control rate had significantly increased, from 61.61% to 100%. In CHS group, there were from 6.39% to 6.50%, and from 49.52% to 59.04% ,but the differences weren＇t significant. At baseline,the control rates of BFG and HbAlc in hospital group were significantly lower than that in CHS group. At the last survey the differ- ences weren＇ t significant between two groups. Conclusion The good control could be got whether the patients with DM in hospital or in CHS.
出处
《四川医学》
CAS
2013年第9期1339-1341,共3页
Sichuan Medical Journal
关键词
糖尿病
医院
社区
效果评估
diabetes mellitus
hospital
community health centre
effect evaluation
