摘要
目的评价家庭医生辅以移动互联网技术对糖尿病患者的管理效果。方法选取上海市联洋社区新建档Ⅱ型糖尿病患者410人,按照建档序号,随机分为对照组(单数编号)和干预组(双数编号)。对照组由公共卫生医生常规管理;干预组,由全科医生运用辅以移动互联网技术开展干预,干预周期均为1年。糖尿病知识知晓率采用问卷方式进行评估;血糖控制目标按照《上海市社区糖尿病防治工作指南》。结果干预组患者在干预后空腹血糖(GLU)、餐后2小时血糖(2h PG)以及糖化血红蛋白(Hb A1c)控制达标率较干预前有统计学差异(P<0.01);干预组患者对空腹血糖控制范围、血糖控制范围、饮食治疗原则等认知程度明显提升,差异有统计学意义(P<0.01);干预组与对照组比较,空腹血糖(GLU)、餐后2小时血糖(2h PG)以及糖化血红蛋白(Hb A1c)控制情况均有统计学差异(P<0.01)。结论全科家庭医生结合移动互联网技术的糖尿病管理模式,实现了糖尿病持续管理,值得推广运用。
Objective To evaluate the effect of type II diabetes management base on mobile internet support for family doctor. Methods 410 type II diabetes patients who had set up files recently in Lianyang community of Shanghai were chosed and divide them into control group（singular number） and intervention group（dual group）according to the filing number at random.The control group was managed by public health physician as usual; The intervention group was intervened by family doctor with mobile internet. The intervening period was 1year. The knowing rate of diabetes knowledge was assessed by questionnaire.Target goal of blood glucose was follow the work instruction of diabetes prevention and treatment in Shanghai. Results Before and after the intervention, the standard rate of GLU,2h PG and Hb A1 c of intervention group all had statistical difference（P〈0.01）.The intervention group＇s cognition about fasting blood glucose range, blood glucose range and diet treatment had improved greatly,with statistical significance（P〈0.01）. The control of GLU,2h PG and Hb A1 c had statistical difference（P〈0.01）. Conclusion It is worth spreading and applying the mode of type II diabetes＇ s management that combined the mobile internet with family doctor.
作者
周卫国
江宗星
姚奕
ZHOU Wei-guo JIANG Zong-xing YAO Yi(Lianyang Community Health Service Center of Pudong New Area, Shanghai 200135, China)
出处
《中国公共卫生管理》
2016年第5期671-673,共3页
Chinese Journal of Public Health Management
基金
浦东新区科技发展基金创新资金(医疗卫生)项目(PKJ2013-Y57)
关键词
糖尿病
家庭医生
移动互联网
血糖控制
diabetes
family doctor
mobile internet
blood glucose control
