摘要
目的比较家庭医生照顾的干预方式对广州市龙凤街道2型糖尿病患者生化指标控制的效果。方法选取2015年7月-2018年7月海珠区龙凤街已建档的600名2型糖尿病患者作为研究对象,随机分为实验组和对照组,每组300例,对照组给予常规糖尿病健康教育;实验组在常规组的基础上增加家庭医生签约式服务的特色干预。干预期为18个月。比较两组干预后管控能力情况,干预前后血糖、血脂、肾功能等指标变化。结果干预后,实验组的管控能力较对照组升高,血糖、血脂、肾功能指标下降,差异均有统计学意义(P<0.05)。结论家庭医生签约服务的健康干预方式降低了2型糖尿病患者的血糖、血脂指标,改善肾功能,患者的预后效果显著,可在社区推广。
Objective To compare the effects of interventions of family doctors on the control of biochemical indicators in patients with type 2 diabetes in Longfeng Street, Guangzhou. Methods A total of 600 patients with type 2 diabetes mellitus who had been established in longfeng street, haizhu district from July 2015 to July 2018 were randomly divided into experimental group and control group, 300 patients in each group. The control group was given regular diabetes healthcare education;in the experimental group we increased the characteristic intervention of family doctor contracted services on the basis of the regular group. The estimate is 18 months. The control ability of the two groups after intervention was compared, and changes of blood glucose, blood lipids and renal function were observed before and after the intervention. Results After the intervention, the control ability of the experimental group was improved compared with the control group. The blood glucose, blood lipid and renal function indexes were decreased, and the difference was statistically significant ( P <0.05). Conclusion The health intervention mode of family doctor contract service reduces the blood sugar and blood lipid indexes of patients with type 2 diabetes, improves renal function, and has a significant prognosis effect, which may be promoted in the community.
作者
张珺
ZHANG Jun(General Clinic of Longfeng Street Community Health Service Center,Haizhu District of Guangzhou, Guangzhou 510250,China)
出处
《广州医药》
2019年第5期54-56,63,共4页
Guangzhou Medical Journal
关键词
社区
2型糖尿病
健康干预
Community
Type 2 diabetes mellitus
Health intervention
