家庭医生糖尿病健康素养管理对患者知行合一的效果分析  

Health literacy management by family doctors on action-awareness merging of diabetic patients： effect analysis

作　　者：彭德荣 赵新平[2] 杨芬红 沈薇 武桂英[2] 

机构地区：[1]上海市静安区彭浦新村街道社区卫生服务中心,200435 [2]复旦大学公共卫生学院

出　　处：《中华医院管理杂志》2017年第3期235-238,共4页Chinese Journal of Hospital Administration

摘　　要：目的通过家庭医生对试点社区签约糖尿病患者的健康素养进行干预和评价，了解家庭医生开展糖尿病健康素养管理的效果和可行性。方法采取社区干预性研究方法，通过问卷调查等，对纳入的560例签约糖尿病患者健康素养基线水平进行评估，随后对其实施糖尿病健康素养管理及定期随访，在综合干预6个月后，再次评估患者的健康素养水平，观察健康素养管理效果。结果560例糖尿病签约患者经管理后，健康素养的平均得分较基线水平提高了23．46分，执行4项基本糖尿病膳食行为的人数增加了36．8％，定时定量实施运动锻炼的人数增加了27．8％。结论社区家庭医生对签约糖尿病患者开展行为知行合一的健康素养管理方法具有可行性，健康素养管理方法对患者知识和行为改变具有一定的作用。Objective To intervene and appraise the health literacy of diabetic patients entering contracts with family doctors in pilot communities, and learn the effect and feasibility of health literacy management by family doctors for diabetic patients. Methods By means of community intervention study and questionnaire survey, 560 diabetic patients as mentioned above in Shanghai were subject to a baseline assessment on their health literacy, followed by management and routine follow-up on their diabetic health literacy. At the end of six months of comprehensive intervention, their health literacy was appraised again to observe the effects of such management. Results Six months of guidance and management found the average scoring of the health literacy of these patients 23.46 over the baseline, an increase of 36. 8% of the patients in their compliance of the four basic diabetic diet behaviors, and an increase of 27. 8% of them in regular and quantitative exercises. Conclusions It is feasible for community family doctors to carry out the health literacy management for diabetic patients contracted, and health literacy management can change the awareness and behaviors of such patients to some extent.

关 键 词：家庭医生 糖尿病 健康素养 管理 效果 

分 类 号：R197.61[医药卫生—卫生事业管理]