慢性病管理对社区糖尿病患者就诊行为及自我管理的影响  

Effect of Chronic Disease Management on Treatment Behavior and Self-Management of Patients with Diabetes in Community

作　　者：王海荣 Wang Hai-rong(Urban Community Health Service Center of Shunyi District,Beijing 101300,China)

机构地区：[1]北京市顺义区城区社区卫生服务中心,北京101300

出　　处：《中国社区医师》2023年第10期139-141,共3页Chinese Community Doctors

摘　　要：目的:探讨慢性病管理对社区糖尿病患者就诊行为及自我管理的影响。方法:选取2020年10月—2021年11月北京市顺义区城区社区卫生服务中心收治的50例糖尿病患者作为研究对象,按照管理护理的参与积极性将参与度高的作为研究组,参与度低的作为对照组,各25例。对照组采用常规管理,研究组给予慢性病管理。比较两组血糖水平、年就诊次数情况、自我管理效果评分、自我幸福感评分。结果:管理前,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);管理后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于管理前,且研究组低于对照组,差异有统计学意义(P<0.05)。两组年就诊次数比较,差异无统计学意义(P>0.05)。研究组降糖知识知晓率、血糖控制自制力、管理依从性、生活质量评分高于对照组,差异有统计学意义(P<0.05)。管理前,两组心境、情感与行为控制、精力、生活满足感评分比较,差异无统计学意义(P>0.05);管理后,两组心境、情感与行为控制、精力、生活满足感评分均高于管理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:社区糖尿病患者采用慢性病管理的有效性较高,可以提升就诊行为,增强自我管理成效,改善血糖水平。Objective:To explore the influence of chronic disease management on the treatment behavior and self-management of diabetic patients in the community.Methods:A total of 50 patients with diabetes who were admitted to the Urban Community Health Service Center of Shunyi District in Beijing from October 2020 to November 2021 were selected as the study subjects.According to the participation enthusiasm of management nursing,those with high participation were included into the study group,and those with low participation were included into the control group,with 25 cases in each group.The control group used conventional management,while the study group was given chronic disease management.The blood glucose levels,number of annual visits,self-management effect scores,and self-happiness scores of the two groups were compared.Results:Before management,there was no statistically significant difference in fasting blood glucose,2-h postprandial blood glucose,and glycated hemoglobin levels between the two groups(P>0.05);After management,the fasting blood glucose,2-h postprandial blood glucose,and glycated hemoglobin levels in two groups were lower than those before management,and the study group was lower than the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in the number of annual visits between the two groups(P>0.05).The awareness rate of hypoglycemic knowledge,self-control in blood glucose control,management compliance,and quality of life scores in study group were higher than those in the control group,with statistically significant differences(P<0.05).Before management,there was no statistically significant difference in the scores of mood,emotional and behavioral control,energy,and life satisfaction between the two groups(P>0.05);After management,the scores of mood,emotional and behavioral control,energy,and life satisfaction in two groups were higher than those before management,and the study group was higher than the control group,with a statisticall

关 键 词：慢性病 社区 糖尿病 就诊行为 自我管理 

分 类 号：R473.2[医药卫生—护理学]