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目的研究家庭医生责任制管理对提升糖尿病患者治疗效果的具体作用。方法选择2011年9月—2012年9月社区糖尿病患者132例,随机分为对照组和观察组各66例。对照组患者接受常规管理。观察组纳入家庭医生责任制管理,家庭医生为患者提供包括心理干预、健康生活方式指导、用药指导、中医干预指导在内的个性化服务。研究结束后,对比两组患者在管理效果、生化指标方面的差异。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果研究后,观察组健康知识知晓率(80.3%)、健康生活方式形成率(86.4%)、规范治疗率(89.4%)、病情控制率(78.8%)均比对照组(48.5%、47.0%、43.9%、41.0%)高(χ2=14.571、23.045、30.682、19.704,均P<0.05)。研究后,对照组血糖(7.45±0.97)mmol/L、糖化血红蛋白(7.52±1.14)%、BUN(6.90±0.91)mmol/L、Cr(123.40±14.67)μmol/L,观察组分别为(6.34±0.87)mmol/L、(6.28±1.03)%、(6.10±0.86)mmol/L、(93.40±11.34)μmol/L,两组比较差异均有统计学意义(t=6.921、6.557、5.191、13.144,均P<0.05)。结论以社区为依托,对糖尿病患者实施家庭医生责任制管理,提高了患者的治疗依从性,改善了患者的生化指标。
Objective To study the specific role of family doctor responsibility system in improving the therapeutic effect of diabetic patients. Methods From September 2011 to September 2012, 132 patients with community-based diabetes were randomly divided into control group and observation group of 66 cases. Control patients underwent routine management. The observation group included in the family doctor responsibility management, family doctor for the patient to provide psychological intervention, healthy lifestyle guidance, medication guidance, guidance of Chinese medicine intervention, including personalized service. At the end of the study, differences in management efficacy and biochemical parameters were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results After the study, the awareness rate of health knowledge (80.3%), healthy life style formation rate (86.4%), standard treatment rate (89.4%) and disease control rate (78.8% , 43.9%, 41.0%) (χ2 = 14.571,23.045,30.682,19.704, all P <0.05). After the study, blood glucose (7.45 ± 0.97) mmol / L, HbA1c (7.52 ± 1.14)%, BUN (6.90 ± 0.91) mmol / L and Cr (123.40 ± 14.67) μmol / ± 0.87 mmol / L, 6.28 ± 1.03%, 6.10 ± 0.86 mmol / L and 93.40 ± 11.34 μmol / L, respectively, with significant differences between the two groups (t = 6.921, 6.557 and 5.91, 13.144, all P <0.05). Conclusion Based on the community, family doctor responsibility system is administered to patients with diabetes, which improves patient compliance and improves biochemical indicators of patients.