社区糖尿病患者不同管理与宣教模式研究  

Study on different management and education modes of patients with diabetes mellitus in community

作　　者：冯志美[1] 黄启亚[1] 杨彩娴[1] 陈云瑚 李绍清[1] 潘桂琼[1] 郭洁峰[1] 钟日锋 谭杏珍 

机构地区：[1]广州医科大学附属第六医院广东省清远市人民医院内分泌科,广东清远511518 [2]广东省清远市清城区凤城卫生服务中心,广东清远511510

出　　处：《中国现代医生》2017年第16期87-89,93,共4页China Modern Doctor

基　　金：广东省医学科研基金项目(A2014836);广东省清远市科技局项目(2014B027)

摘　　要：目的研究不同管理与宣教模式对社区糖尿病(diabetes mellitus,DM)患者的影响。方法将130例社区糖尿病患者随机分为研究组(n=65)与对照组(n=65),每组再分为两个亚组:非中老年组(A组,年龄<50岁)35例、中老年组(B组,年龄≥50岁)30例、非中老年对照组(C组,年龄<50岁)35例、中老年对照组(D组,年龄≥50岁)30例。对照组采用单一的传统大课堂科普宣教方法 ,研究组采用形式多样的健康管理与宣教方法。比较不同的糖尿病健康管理与宣教模式对于血糖、血脂、血压和体重等指标的影响以及不同健康管理与宣教模式下1年内患者低血糖发生率、医疗总费用的差异。结果研究组血糖、血脂、血压和体重改善较对照组明显,1年内患者低血糖发生率(A组:0.18%vs C组:0.97%;B组:0.16%vs D组:1.46%)、医疗总费用[A组:(3713.94±456.38)元vs C组:(4123.98±568.19)元;B组:(3993.94±652.89)元vs D组:(4539.13±795.16)元]明显下降,差异有统计学意义(P<0.05)。结论采用形式多样的健康管理与宣教方法能提高患者血糖、血脂、血压、体重控制率,减少低血糖发生率,降低患者医疗总费用。Objective To study the effect of different management and education modes on patients with diabetes mellitus（DM） in community. Methods The patients in community members were randomly divided into study group（n =65）and control group（n=65）, and each group was divided into 2 subgroups including non-middle, older-aged group（group A, age 〈50 years, n =35）, middle and older-aged group（group B, age ≥50 years, n =30）, non-middle, older-aged control group（group C, age 〈50 years, n=35） and middle and older-aged control group（group D, age ≥50 years, n=30）.The control group was given a single traditional large-scale popular science education method, and the study group was treated with various forms of health management and education methods. The effects of different diabetes health management and education modes on indicators including blood glucose, blood lipids, blood pressure and body weight and the difference in the incidences of hypoglycemia and the total cost of medical care within one year in different health management and education modes were compared. Results The improvements of blood glucose, blood lipid, blood pressure and body weight in the study group were more significant than those in the control group. The incidence of hypoglycemia within one year in the study group significantly decreased compared with that of the control group [group A（0.18%） vs group C（0.97%）, group B（0.16%） vs group D（1.46%）]. And the total cost of medical care in the study group was also obviously lower than that in the control group[group A（3713.94±456.38） vs group C（4123.98±568.19）,group B（3993.94±652.89） vs group D（4539.13±795.16）]. The difference was statistically significant（P〈0.05）. Conclusion The use of various forms of health management and education methods can improve the blood glucose, blood lipid,blood pressure and body weight control rate of patients,and can reduce the incidence of hypoglycemia and the total cost of medical care.

关 键 词：糖尿病 社区 健康管理 宣教模式 

分 类 号：R473[医药卫生—护理学]