2型糖尿病患者分组管理的效果评价  

Management Effective Evaluation on the Groups of Patients with the Type 2 Diabetes Mellitus

作　　者：陈亮[1] 胡芳芳[1] 张惠琴[1] 

机构地区：[1]上海市徐汇区徐家汇街道社区卫生服务中心,200030

出　　处：《中华全科医学》2011年第12期1916-1917,共2页Chinese Journal of General Practice

摘　　要：目的探索社区2型糖尿病管理的模式,提高管理效率,提升治疗效果。方法随机抽取本社区内的948名2型糖尿病患者,并将其随机分成实验组与对照组。对照组采用一般门诊随访方式进行;实验组采用分组管理的模式随访。对两组研究对象管理后自我管理能力及糖代谢指标的改善情况进行比较。结果两组研究对象在伴随的慢性非传染性疾病的分布上无差别。但是,实验组研究对象的糖代谢指标、自我管理能力均较对照组有明显改善。结论分组管理是一种适合在社区开展的糖尿病管理模式,能够调动患者参与管理的积极性,有效舒缓患者的情绪,能更好地促进患者做到合理用药、合理膳食、适宜的运动锻炼,从而有效改善2型糖尿病的预后、延缓并发症发生、提高生活质量,并提高患者的依从性。Objective To explore the intervention mode of the type 2 diabetes mellitus in the community,and to improve the management efficiency and therapeutic effect.Methods 948 patients with type 2 diabetes mellitus in the community were randomly selected and divided into experimental group and control group.The control group was observed in the department of outpatient;while the experimental ones were divided into groups in the course of observation.The experimental group and control group in self-control and the improvement in glucose metabolism after intervention were compared.Results The two groups were the same in the distribution of the chronic diseases accompanied with the type 2 diabetes mellitus.The glucose metabolic indicators and self-control of the experimental groups were better than those of the control group.Conclusion Group-divided follow-up was an effective method for the intervention of chronic diseases in the community.It can motivate the patients to take an active part in the intervention and make them ease up.It can also promote them rationally taking the drugs,having a reasonable diet and taking more exercises so as to delay the onset of complications and improve the quality of life.

关 键 词：2型糖尿病 分组管理 

分 类 号：R587.1[医药卫生—内分泌]