社区老年糖尿病健康管理效果分析  

Health management effect of elderly diabetes in community

作　　者：匡亮[1] 欧阳真 杨丽华[1] 陈涛[1] KUANG Liang;OU Yang-zhen;YANG Li-hua;CHEN Tao(Development Department,Chenzhou First People′s Hospital Business,Chenzhou,Hunan 423000,China)

机构地区：[1]湖北省郴州市第一人民医院事业发展部,湖南郴州423000

出　　处：《公共卫生与预防医学》2022年第5期158-161,共4页Journal of Public Health and Preventive Medicine

基　　金：南华大学医院管理研究所2019年医院管理类项目(2019YYGL23)。

摘　　要：目的了解社区慢性病健康管理在老年糖尿病患者中的应用效果,为社区老年糖尿病患者防治提供健康管理依据。方法选择2019年7月至2019年12月时间段内社区2型糖尿病患者200例,采用随机对照组法分为两组,每组各100例,其中对照组采用常规方式管理,观察组采用社区慢性病健康管理,两组约定每月随访患者,获取并记录患者的生活行为因素、临床代谢指标等,持续6个月周期后分别评估两组的效果。结果干预后两组血清FPG、2hPG、HbA1c水平较治疗前明显降低(P<0.05);且观察组血清FPG、2hPG、HbA1c水平较对照组明显较低(P<0.05);干预后两组饮食控制、运动依赖性、足部护理、检测依从性评分及SDSCA总分较治疗前明显升高(P<0.05);且观察组较对照组明显较高(P<0.05);干预后两组生理、心理、环境、社会关系评分较治疗前明显较低(P<0.05);且观察组较对照组明显较低(P<0.05);结论采用社区慢性病健康管理对于社区老年糖尿病患者具有良好的效果,值得在社康中心长期实施和推广。Objective To understand the application effect of community chronic disease health management in elderly patients with diabetes,and to provide health management basis for the prevention and treatment of elderly patients with diabetes in community.Methods A total of 200 community type 2 diabetes patients were selected from July 2019 to December 2019,and were divided into two groups with 100 patients in each group by randomized control method.The control group was managed by conventional way,and the observation group was managed by community chronic disease health management.The two groups agreed to follow up patients monthly.Life behavior factors and clinical metabolic indicators of patients were obtained and recorded,and the effects of the two groups were evaluated after a 6-month cycle.Results After intervention,the levels of serum FPG,2hPG and HbA1c in the two groups were significantly lower than those before treatment(P<0.05).The serum levels of FPG,2hPG and HbA1c in observation group were significantly lower than those in control group(P<0.05).After intervention,diet control,movement dependence,foot care,test compliance score and SDSCA total score in both groups were significantly increased compared with those before treatment(P<0.05).The observation group was significantly higher than the control group(P<0.05).After intervention,the scores of physiological,psychological,environmental and social relationship in the two groups were significantly lower than those before treatment(P<0.05).The observation group was significantly lower than the control group(P<0.05).Conclusion Community chronic disease health management has a good effect on elderly diabetes patients in community,which is worth long-term implementation and promotion in social health centers.

关 键 词：社区 慢性病健康管理 老年糖尿病 应用效果 

分 类 号：R181[医药卫生—流行病学]