通过家庭医生签约方式对社区糖尿病患者实施健康干预的效果  

The Effect of Health Intervention for Diabetic Patients in the Community Through Family Doctor Contracting

作　　者：郑秀丽 ZHENG Xiuli(Medical Department,Linzi District Mental Hospital(Linzi District Qiling Hospital),Zibo,Shandong Province,255400 China)

机构地区：[1]山东省淄博市临淄区精神病院(临淄区齐陵卫生院)医疗科室,山东淄博255400

出　　处：《糖尿病新世界》2021年第12期170-173,共4页Diabetes New World Magazine

摘　　要：目的探究对社区糖尿病患者施行家庭医生签约方式的效果。方法自2018年开始施行家庭医生签约方式,借助随机数字表法抽取2018年1月—2020年6月60例社区糖尿病患者(观察组,施行家庭医生签约式服务)及2015年6月—2017年12月60例社区糖尿病患者(对照组,施行常规护理)为观察对象,对比两组用药依从性、血糖水平、糖化血红蛋白水平、血糖达标率、满意度、自我管理评分、健康促进生活方式量表评分及生活质量评分。结果观察组用药依从率(98.33%)较对照组(83.33%)更高,差异有统计学意义(P<0.05);观察组干预后空腹及餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组满意度(98.33%)、血糖达标率(91.67%)较对照组(83.33%、70.00%)更高,差异有统计学意义(P<0.05);观察组干预后自我管理评分、健康促进生活方式量表评分及生活质量评分均较对照组更高,差异有统计学意义(P<0.05)。结论对社区糖尿病患者施行家庭医生签约服务有助于增加用药依从性及血糖达标率,并有助于纠正其不良生活方式,生活质量更高。Objective To explore the effect of implementing family doctor contracting method for diabetic patients in the community.Methods Since 2018,the family doctor contracting method has been implemented,and 60 cases of community diabetes patients from January 2018 to June 2020(observation group,implementing family doctor contracted services)were selected from January 2018 to June 2020 with the help of random number table method,and from June 2015 to December 2017,60 community diabetic patients(control group,routine care)were the observation objects,and the two groups were compared with medication compliance,blood glucose level,glycosylated hemoglobin level,blood glucose compliance rate,satisfaction,self-management score,health promotion lifestyle scale score and quality of life score.Results The medication compliance rate(98.33%)of the observation group was higher than that of the control group(83.33%),the difference was statistically significant(P<0.05);the fasting and 2h postprandial blood glucose and glycosylated hemoglobin levels of the observation group after intervention were lower than those of the control group,the difference was statistically significant(P<0.05);satisfaction(98.33%)and blood glucose compliance rate(91.67%)were higher than those of the control group(83.33%,70.00%),the difference was statistically significant(P<0.05);the observation group’s self-management score,health promotion lifestyle scale score and quality of life score after intervention all were higher than the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of family doctor contract service for community diabetic patients can help increase medication compliance and blood glucose compliance rate,and help correct their unhealthy lifestyles and improve their quality of life.

关 键 词：健康干预 家庭医生 糖尿病 自我管理 生活质量 

分 类 号：R47[医药卫生—护理学]