家庭医生服务团队模式管理社区2型糖尿病的效果评价  

Evaluation of the effect of family doctor service team mode on community management of type 2 diabetes mellitus

作　　者：徐蓉[1] 王丽 沈雁红 徐丽娜[1] 梁松梅[1] XU Rong;WANG Li;SHEN Yanhong;XU Lina;LIANG Songmei(Medical Department of Yinhang Community Health Service Center of Yangpu District, Shanghai 200438, China)

机构地区：[1]上海市杨浦区殷行社区卫生服务中心医务科,上海200438

出　　处：《上海医药》2019年第10期45-47,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:评价家庭医生服务团队模式管理2型糖尿病患者的效果。方法:由全科医生、社区护士、公卫医生、中医医生共同组成家庭医生服务团队。随机抽取100例2型糖尿病患者并被分为管理组和对照组,每组各50例。管理组中有男性23例,女性27例,年龄为50～72岁,平均年龄(62.8±5.2)岁;对照组中有男性22例,女性28例,年龄为50～72岁,平均年龄(61.3±4.8)岁。对管理组患者实施10个月的团队管理和个性化的健康培训,对对照组患者实施常规管理。结果 :管理后,管理组患者的餐后2 h血糖和糖化血红蛋白水平明显低于对照组(P <0.05),糖尿病知识知晓程度优于对照组(P <0.05)。结论 :实施家庭医生服务团队模式的综合管理能够有效控制2型糖尿病患者的血糖,提高其对糖尿病知识的知晓程度。Objective: To evaluate the effect of family doctor service team mode in the management of type 2 diabetes mellitus. Methods: The family doctor service team was composed of general practitioners, community nurses, public health doctors and traditional Chinese medicine doctors. One hundred patients with type 2 diabetes were randomly selected and divided into a management group and a control group with 50 cases in each group. There were 23 males and 27 females in the management group, aged 50~72 years, with an average age of(62.8±5.2) years;there were 22 males and 28 females in the control group, aged 50~72 years, with an average age of(61.3±4.8) years. The patients in the management group received 10 months of team management and personalized health training, and the patients in the control group were given routine management.Results: After management, the levels of 2 h postprandial blood sugar and glycosylated hemoglobin levels in the management group were significantly lower than those in the control group(P<0.05). The patients’ knowledge of diabetes mellitus in the management group was significantly better than that in the control group(P<0.05), and the knowledge level of diabetes mellitus in the management group was better than that in the control group(P<0.05). Conclusion: Implementing comprehensive management of family doctor service team mode can effectively control blood sugar in type 2 diabetes mellitus patients and improve their knowledge of diabetes mellitus.

关 键 词：家庭医生服务团队模式 2型糖尿病 健康管理 

分 类 号：R587.1[医药卫生—内分泌]