家庭医生签约对2型糖尿病患者血糖控制效果的影响  

Effect of Family Doctor Contract on Blood Glucose Control in Patients with Type 2 Diabetes Mellitus

作　　者：周彬 Zhou Bin(General Practice Department,Xihongmen Hospital of Daxing District,Beijing 100162,China)

机构地区：[1]北京市大兴区西红门医院全科,北京100162

出　　处：《中国社区医师》2023年第6期154-156,共3页Chinese Community Doctors

摘　　要：目的:观察2型糖尿病患者接受家庭医生签约干预后对血糖控制效果的影响。方法:随机选取2018年7月—2020年7月北京市大兴区西红门医院收治的200例2型糖尿病患者为研究对象,利用红蓝球抽签分组法分为对照组与观察组,各100例。对照组给予社区常规健康管理,观察组开展家庭医生签约模式管理。比较两组患者血糖控制效果、治疗依从性、满意度。结果:干预前,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较,差异无统计学意义(P>0.05);干预后,观察组空腹血糖、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)。观察组按医嘱服药、合理饮食、适当运动、定期复查依从性均高于对照组,差异有统计学意义(P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论:2型糖尿病患者接受家庭医生签约干预后,血糖控制效果明显,治疗依从性显著升高,整体满意度高。Objective:To observe the effect of family doctor contract intervention on blood glucose control in patients with type 2 diabetes mellitus.Methods:From July 2018 to July 2020,200 patients with type 2 diabetes mellitus in Xihongmen Hospital of Daxing District of Beijing were selected as the study subjects.Using the red and blue ball lottery grouping method,the patients were divided into control group and observation group,with 100 cases in each group.The control group was given routine health management in the community,and the observation group was given family doctor contract model management.The effect of blood glucose control,treatment compliance,and satisfaction were compared between the two groups.Results:Before the intervention,there were no significant differences in fasting blood glucose,2 h postprandial blood glucose and glycated hemoglobin levels between the two groups(P>0.05).After the intervention,the fasting blood glucose,2 h postprandial blood glucose and glycated hemoglobin levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The compliance rates of taking medication as per medical order,reasonable diet,appropriate exercise,and regular review in observation group were higher than those in control group,and the difference was statistically significant(P<0.05).The satisfaction in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion:After the patients with type 2 diabetes mellitus receive the intervention of family doctor contract,the blood glucose control effect is significant,and the compliance of treatment is significantly increased,and the overall satisfaction is high.

关 键 词：2型糖尿病 社区管理 家庭医生签约 

分 类 号：R587.1[医药卫生—内分泌]