医联体共管模式对糖尿病前期人群代谢指标的影响研究  

Effect of Medical Alliance Co-Management Model on Metabolic Indicators of Prediabetic Population

作　　者：张丹[1] 刘蓉[1] 赵小飞 Zhang Dan;Liu Rong;Zhao Xiao-fei(Changzhou No.7 People's Hospital,Changzhou 213011,Jiangsu Province,China)

机构地区：[1]常州市第七人民医院,江苏常州213011

出　　处：《中国社区医师》2022年第31期140-142,共3页Chinese Community Doctors

摘　　要：目的:观察通过医联体共管模式对糖尿病前期人群进行综合干预的效果。方法:选取2021年6月-2022年6月在基层医疗机构居民体检及常州市第七人民医院体检发现的60例糖尿病前期患者为研究对象,随机分为常规组和管理组,各30例。常规组进行常规管理,管理组进行医联体共管模式管理,比较两组糖尿病知识知晓率、空腹血糖(FBG)、餐后2 h血糖(2 hPBG)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)、血压(BP)、体重指数(BMI)和生活质量。结果:干预后管理组和常规组的糖尿病知识知晓率分别为96.67%(29/30)和70.00%(21/30),干预后两组糖尿病知晓率均有提高,差异有统计学意义(P<0.05);管理组糖尿病知识知晓率高于常规组,差异有统计学意义(P<0.05)。干预前,两组FBG、2 hPBG、TC、TG、LDL-C、BP和BMI比较,差异无统计学意义(P>0.05);干预后,管理组FBG、2 hPBG、TC、TG、LDL-C、BP和BMI均低于常规组,差异有统计学意义(P<0.05)。管理组情感职能、生理功能、躯体疼痛和社会功能评分均高于常规组,差异有统计学意义(P<0.05)。结论:糖尿病前期患者采取医联体共管模式能有效降低患者的血糖、血脂等多个指标,帮助患者养成健康的生活方式,提高其健康素养,对延缓糖尿病的自然进程及并发症的发生具有重要的实用价值。Objective:To observe the effect of comprehensive intervention on prediabetic population through the medical alliance co-management model.Methods:A total of 60 patients with pre-diabetes found by resident physical examination in primary medical institutions and physical examination in Changzhou No.7 People's Hospital were selected from June 2021 to June 2022 as the study subjects.The patients were randomly divided into conventional group and management group,with 30 cases in each group.The conventional group implemented routine management and the management group was managed by medical alliance comanagement model.The diabetes knowledge awareness rate,fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPBG),total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),blood pressure(BP),body mass index(BMI)and quality of life were compared between the two groups.Results:After the intervention,the diabetes knowledge awareness rates in the management group and the conventional group were 96.67%(29/30)and 70.00%(21/30),respectively,and the diabetes awareness rate in the two groups was improved after the intervention,with significant difference(P<0.05).The diabetes knowledge awareness rate in the management group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in FBG,2 hPBG,TC,TG,LDLC,BP and BMI between the two groups(P>0.05).After the intervention,the FBG,2 hPBG,TC,TG,LDL-C,BP and BMI in the management group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).The scores of emotional function,physiological function,somatic pain,and social function in the management group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion:Adopting medical alliance co-management model for patients.

关 键 词：糖尿病 医联体 慢性病管理 代谢指标 

分 类 号：R587.1[医药卫生—内分泌]