2型糖尿病社区照顾路径应用的评价研究  

Evaluation on the Application of Clinical Pathway for Type 2 Diabetes Mellitus in Community

作　　者：梁万年[1] 曹红霞[1] 路孝琴[1] 彭小霞[1] 刘民[2] 杜雪平[3] 周海虹[3] 武琳[3] 侯武姿[3] 方洁如[3] 戴秋颖[3] 李亚玉[3] 严春泽[3] 乌正赉[4] 

机构地区：[1]首都医科大学,北京市100054 [2]北京大学医学部 [3]首都医科大学附属复兴医院 [4]中国协和医科大学基础医学院

出　　处：《中国全科医学》2005年第5期343-346,共4页Chinese General Practice

摘　　要：目的　评价所建立的适用于我国城市社区人群 2型糖尿病社区照顾路径的效果、效益、可行性和可推广性。方法　采用同期非随机对照试验和个人深入访谈法, 对所建立的社区照顾路径进行评价。结果　2型糖尿病社区照顾路径的实施提高了患者的生存质量、满意度、依从性和糖尿病健康知识的知晓度, 同时也提高了社区卫生服务质量。结论　2型糖尿病的社区照顾路径在提高医院运行效率的同时, 规范了医疗服务, 是一种比较实用的疾病管理方法。Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and extrapolability of the clinical pathway developed in urban community for the patients with type 2 diabetes mellitus.Methods The clinical pathway developed in urban community was evaluated by non-random concurrent controlled trial and individual depth interview. Results Many aspects of the patients in experimental group improved, including the life quality, satisfaction, compliance, and the awareness of the knowledge on diabetes. The quality of the community health care service was also enhanced.Conclusion The clinical pathway developed in urban community for patients with type 2 diabetes mellitus is necessary to enhance the efficiency of hospital and to standardize the medical care service. The clinical pathway may be a very practical method for disease management.

关 键 词：2型糖尿病 评价研究 深入访谈法 知晓度 随机对照试验 健康知识 疾病管理 社区照顾 路径 城市社区 

分 类 号：R587.1[医药卫生—内分泌] C913[医药卫生—内科学]