全科医学理论指导下社区综合干预对于糖尿病患者血糖控制的效果分析  

Effect Analysis of General Practice Theory-Guided Community Comprehensive Intervention on Blood Glucose Control in Diabetic Patients

作　　者：周伟东 程鑫 吴凤娟 Zhou Weidong;Cheng Xin;Wu Fengjuan(Qilian Community Health Service Center,Shanghai 200444,China)

机构地区：[1]祁连社区卫生服务中心,上海200444

出　　处：《中国社区医师》2024年第6期158-160,共3页Chinese Community Doctors

摘　　要：目的:分析全科医学理论指导下社区综合干预对于糖尿病患者血糖控制的效果。方法:选取2021年2月—2023年2月于祁连社区卫生服务中心接受治疗的糖尿病患者134例作为研究对象,依据随机数字表法分为对照组和观察组,各67例。对照组行常规干预,观察组在对照组基础上实施全科医学理论指导下的社区综合干预,比较两组干预效果。结果:观察组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05)。观察组干预后糖尿病相关知识知晓程度高于对照组,差异有统计学意义(P<0.05)。观察组干预后定期复诊、遵医嘱用药、合理饮食、合理用药依从性优于对照组,差异有统计学意义(P<0.05)。观察组患者干预后生活质量各项评分高于对照组,差异有统计学意义(P<0.05)。结论:全科医学理论指导下社区综合干预对于糖尿病患者血糖控制的效果较好,可提高患者糖尿病相关知识知晓程度,患者依从性及生活质量高。Objective:To analyze the effect of general practice theory-guided community comprehensive intervention on blood glucose control in diabetic patients.Methods:A total of 134 diabetic patients who received treatment in Qilian Community Health Service Center from February 2021 to February 2023 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 67 cases in each group.The control group implemented routine intervention,and the observation group implemented community comprehensive intervention under the guidance of general practice theory on the basis of the control group.The intervention effects of the two groups were compared.Results:After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the degree of diabetes-related knowledge awareness in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the compliance with regular return visit,medication as per the doctor's order,reasonable diet and rational medication in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the quality of life scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The general practice theoryguided community comprehensive intervention has good effects on blood glucose control in diabetic patients,and can improve the degree of diabetes-related knowledge awareness,with high compliance and quality of life.

关 键 词：糖尿病 社区综合干预 血糖 

分 类 号：R587.1[医药卫生—内分泌]