南京市老年2型糖尿病患者社区医院综合健康管理效果评价  

Evaluation of comprehensive health management by community hospital of the elderly type 2 diabetic patients in Nanjing

作　　者：邓琳[1] 巢健茜[1] 徐辉 余清 陈黄慧 顾佳怡[1] 张锐芝[1] 何婷婷[1] DENG Lin;CHAO Jian-qian;XU Hui;YU Qing;CHEN Huang-hui;GU Jia-yi;ZHANG Rui-zhi;HE Ting-ting(Department of Medical Insurance, School of Public Health, Southeast University, Nanfing 210009, Chi- na;Department of Cardiology, Qin Huai Hospital, Nanjing 210006, China)

机构地区：[1]东南大学公共卫生学院医疗保险教研室,江苏南京210009 [2]南京市秦淮医院心血管内科,江苏南京210006

出　　处：《中华疾病控制杂志》2018年第4期349-353,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(81273189)

摘　　要：目的探索社区医院综合健康管理对老年2型糖尿病患者生活习惯、生理生化指标、健康知识等方面的影响,为进一步开展社区糖尿病健康管理提供合理建议。方法本研究于2013年3月~2016年12月选取南京市某社区医院老年2型糖尿病患者336例为研究对象,采用Wilcoxon秩和检验、2检验比较管理前后两组患者在自评状况、健康知识得分、生活习惯、生理生化指标方面改变情况。结果 24个月综合健康管理后,管理组在疼痛不适、焦虑抑郁、健康自评得分、健康知识得分、定期监测血糖、健康饮食得分、高中低强度运动情况、每天静坐情况、空腹血糖方面均优于对照组(均有P<0.05)。管理前后管理组健康知识得分差值(6.66±6.46)分高于对照组(4.64±6.91)分,管理组中等强度和低强度运动时间增量(0.39±218.46,81.51±351.10)分钟/周大于对照组(-47.77±230.38,18.40±327.75)分钟/周,管理组静坐时间变化量(-10.40±139.07)分钟/天优于对照组(28.30±115.93)分钟/天(均有P<0.05)。结论健康讲座、定期随访、个性化辅导等综合健康管理能有效改善老年2型糖尿病患者的健康状况及生活习惯,控制血糖水平,改善心理状况,提高生活质量。Objective To explore the effect on the community hospital comprehensive health management of the elderly type 2 diabetic patients about habits, physiological and biochemical indicators, health knowledge for the further community diabetes health management. Methods A total of 336 elderly patients with type 2 diabetes mellitus in a community hospital in Nanjing were selected and self-assessment status, health knowledge score, lifestyle and physiological and biochemical indicators were analyzed by Wilcoxon test and chi-square test between the two groups before and after manage- ment from March 2013 to December 2016. Results The management group were better than the control group in the pain discomfort, anxiety and depression, healthy self-assessment score, health knowledge scores, monitor fast plasma glucase （FPG） regularly, healthy diet score, three kinds of exercise, daily sitting time and FPG after management by community hospital（ all P 〈 0. 05 ）. The health knowledge score difference of management group （ 6. 66 ~ 6.46 ） before and after man- agement is higher than the control group（4. 64 ＋ 6. 91 ）, the moderate intensity and low intensity exercise increased time of management group （ （0. 39 ＋ 218.46,81.51 ± 351.10） min/week） is longer than control group （ （ - 47. 77 ± 230. 38, 18.40 ± 327.75） min/week）, and the sitting time difference of management group （ （ - 10. 40 ± 139.07 ） min/day） is better than control group （ （28. 30 ± 115. 93） rain/day） （ all P 〈 O. 05）. Conclusions Comprehensive health management such as health lectures, regular follow-up and personalized counseling can effectively improve the elderly type 2 diabetes patients with health status and lifestyle, control blood sugar levels, ameliorate the psychological status and improve the quality of life.

关 键 词：综合健康管理 老年2型糖尿病 评价研究 

分 类 号：R287.2[医药卫生—中药学]