共享决策在社区糖尿病患者管理中的应用效果分析  

Analysis on Application Effect of Shared Decision in Management of Community Diabetic Patients

作　　者：汪秋实 岳晓冬 李芬 韩燕 段蔚宇 Wang Qiushi;Yue Xiaodong;Li Fen;Han Yan;Duan Weiyu(Department of Public Health,The Second People's Hospital of Xiangcheng District,Suzhou 215143,Jiangsu Province,China;Department of Laboratory Medicine,The Second People's Hospital of Xiangcheng District,Suzhou 215143,Jiangsu Province,China;Department of Chronic Disease Prevention and Control,Xiangcheng Center for Disease Control and Prevention,Suzhou 215131,Jiangsu Province,China)

机构地区：[1]苏州市相城区第二人民医院公共卫生科,江苏苏州215143 [2]苏州市相城区第二人民医院检验科,江苏苏州215143 [3]苏州市相城区疾病预防控制中心慢性病放治科,江苏苏州215131

出　　处：《中国社区医师》2024年第25期134-136,共3页Chinese Community Doctors

基　　金：苏州市“科教兴卫”青年科技项目(编号:KJXW2020080);相城区卫生科技培育项目(编号:202107)。

摘　　要：目的:分析共享决策在社区糖尿病患者管理中的应用效果。方法:选取2021年3月—2022年3月苏州市相城区慢性病档案管理系统中的糖尿病患者400例作为研究对象,通过随机数字表法分为对照组和干预组,各200例。对照组实施常规糖尿病管理,干预组实施共享决策模式管理。比较两组管理效果。结果:干预4、6个月后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于干预前,且干预组低于对照组(P<0.05);两组血清C肽水平高于干预前,且干预组高于对照组(P<0.05)。干预6个月后,两组饮食、运动、血糖监测、足部管理、用药依从性评分高于干预前,且干预组高于对照组(P<0.05)。结论:共享决策模式在社区糖尿病患者管理中的应用效果显著,可控制血糖水平,改善胰岛功能,提高患者自我管理能力。Objective:To analyze the application effect of shared decision in management of community diabetic patients.Methods:From March 2021 to March 2022,a total of 400 diabetic patients in the chronic disease file management system of Xiangcheng District of Suzhou City were selected as the study subjects.They were divided into control group and intervention group by random number table method,with 200 cases in each group.The control group received routine diabetes management,and the intervention group received management under the shared decision mode.The management effect was compared between the two groups.Results:After 4 months and 6 months of intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were lower than those before intervention,and the levels in the intervention group were lower than those in the control group(P<0.05).The serum C-peptide levels in the two groups were higher than those before the intervention,and the levels in the intervention group were higher than those in the control group(P<0.05).After 6 months of intervention,the scores of diet,exercise,blood glucose monitoring,foot management,and medication compliance in the two groups were higher than those before intervention,and the scores in the intervention group were higher than those in the control group(P<0.05).Conclusion:The application of shared decision mode in the management of community diabetic patients has a significant effect,and can control blood glucose levels,improve pancreatic islet function,and improve patients'self-management ability.

关 键 词：糖尿病 社区 共享决策模式 

分 类 号：R587.1[医药卫生—内分泌]