区域医疗联合体背景下社区糖尿病精细化护理干预模式的应用  

Application of the refined nursing intervention mode for community diabetes under the background of regional medical consortium

作　　者：袁美娣 胡敏 周玲 YUAN Meidi;HU Min;ZHOU Ling(Outpatient Nursing Department of Shihmenerlu Community Health Service Center of Jingan District,Shanghai 200041,China)

机构地区：[1]上海市静安区石门二路街道社区卫生服务中心门诊护理,上海200041

出　　处：《上海医药》2020年第22期43-45,57,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨在区域医疗联合体(医联体)背景下应用社区糖尿病精细化护理干预模式的效果。方法:选取确诊糖尿病患者120例,随机分成对照组与干预组各60例。干预组有男性36例、女性24例;平均年龄为(72.8±2.3)岁;对照组有男性38例、女性22例;平均年龄为(72.3±2.5)岁。对照组是医联体背景下以家庭医生团队电话回访为主的社区干预模式;干预组则采取医联体背景下社区糖尿病精细化护理干预模式。两组均连续干预6个月,评价两组干预前后的自我管理行为、血糖控制状况、和低血糖发生情况。结果:两组患者干预后的糖尿病自我管理行为量表(SDSCA)评分均较干预前有显著提高,但干预组的SDSCA评分明显高于对照组[(32.85±2.62)分比(27.85±2.61)分,P<0.001]。两组患者干预3个月、6个月后空腹血糖和餐后2 h血糖水平均较干预前明显下降,但干预组患者的空腹血糖和餐后2 h血糖水平明显低于对照组(P<0.05)。干预组干预期间低血糖发生率明显低于对照组(18.33%比45.00%,P<0.001)。结论:在医联体背景下社区糖尿病精细化护理干预模式不仅可提高社区糖尿病患者自我管理行为,同时还可更好地控制血糖水平,减少低血糖不良反应事件的发生,保障患者的安全。Objective:To explore the effect of applying the refined nursing intervention mode for community diabetes under the background of the regional medical consortium.Methods:One hundred and twenty patients with confirmed diabetes were selected and randomly divided into a control group and an intervention group with 60 cases each.There were 36 males and 24 females in the intervention group;the average age was(72.8±2.3)years;there were 38 males and 22 females in the control group;the average age was(72.3±2.5)years.The control group adopted a community intervention mode based on the family doctor team’s telephone return visit under the background of medical consortia;the intervention group adopted the community refined nursing intervention mode under the background of medical consortium.Both groups continued to be intervened for 6 months,and the self-management behavior,blood sugar control status,and the occurrence of hypoglycemia of the two groups before and after the intervention were evaluated.Results:After intervention,the scores of self-management behavior scale(SDSCA)of the patients in the two groups were significantly improved,however,the SDSCA score in the intervention group was significantly higher than that in the control group[(32.85±2.62)points vs.(27.85±2.61)points,P<0.001].The levels of fasting blood glucose and 2-hour postprandial blood glucose of the patients in the two groups were significantly lower than those before the intervention,but the levels of fasting blood glucose and 2 h postprandial blood glucose in the intervention group were significantly lower than those in the control group(P<0.05).The incidence of hypoglycemia in the intervention group was significantly lower than that in the control group(18.33%vs.45.00%,P<0.001).Conclusion:Under the background of the medical consortium,the refined nursing intervention mode for community diabetes not only can improve the self-management behavior of community diabetes patients,but also better control the blood glucose level,reduce the occurrence of

关 键 词：糖尿病 医联体 社区 精细化护理干预 应用 

分 类 号：R587.1[医药卫生—内分泌]