医共体新形式下促进卫生服务领域的研究实施行动模式对糖尿病患者干预疗效及自我管理行为的影响  

Effects of promoting action on research implementation in health service model under the new form of medical community on intervention efficacy and self-management behavior of diabetes patients in the new form of medical community

作　　者：陈进 刘清宇 朱富荣 CHEN Jin;LIU Qingyu;ZHU Furong(Health Management Center,Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan,Hubei,430010,China)

机构地区：[1]湖北省中西医结合医院健康管理中心,湖北武汉430010

出　　处：《当代医学》2025年第1期162-166,共5页Contemporary Medicine

摘　　要：目的探讨医共体新形式下促进卫生服务领域的研究实施行动(promoting action on research implementation in health service,PARIHS)模式对糖尿病(diabetes mellitus,DM)患者干预疗效及自我管理行为的影响。方法选取2020年11月至2021年12月湖北省中西医结合医院健康管理中心收治的120例DM患者作为研究对象,按照随机数字表法分为对照组与观察组,每组60例。对照组接受常规健康管理,观察组接受医共体新形式下PARIHS模式干预。比较两组干预前后血糖[空腹血糖(fasting blood glucose,FBG)、餐后2 h血糖(postprandial 2 h blood glucose,2 h PBG)、糖化血红蛋白A1c(glycosylated hemoglobin A1c,HbA1c)]水平、睡眠质量[匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)]、生命质量[糖尿病患者生存质量特异性量表(diabetes specific quality of life scale,DSQL)]、自我管理行为能力[糖尿病患者自我管理行为量表(summaryof diabetes self-care activities,SDSCA)]。结果干预后,两组FBG、2 h PBG、HbA1c水平均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组血糖监测、饮食、运动、足部护理维度评分及总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组生理功能、心理精神、社会关系、治疗评分及总分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论医共体新形式下PARIHS模式干预有利于改善患者血糖水平,提高患者睡眠质量、生命质量及自我管理行为能力。Objective To explore the effect of promoting action on research implementation in health service(PARIHS)model under the new form of medical community on the intervention efficacy and self-management behavior of patients with diabetes mellitus(DM).Methods A total of 120 patients with DM admitted to the Health Management Center of Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine from November 2020 to December 2021 were selected as the research subjects,they were divided into the control group and the observation group according to the random number table method,with 60 cases in each group.The control group received routine health management,and the observation group received PARIHS model intervention under the new form of medical community.The blood glucose(fasting blood glucose[FBG],postprandial 2 h blood glucose(2 h PBG),glycosylated hemoglobin A1c[HbA1c])levels,sleep quality(Pittsburgh sleep quality index[PSQI]),quality of life(diabetes specific quality of life scale[DSQL]),self-management behavior ability(summary of diabetes self-care activities[SDSCA])before and after intervention were compared between the two groups.Results After intervention,the levels of FBG,2 h PBG and HbA1c of the two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of blood glucose monitoring,diet,exercise,foot care dimension and total score of the two groups were higher than those before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of sleep quality,sleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction of the two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,the physiological functi

关 键 词：糖尿病 医共体 促进卫生服务领域的研究实施行动模式 自我管理行为 血糖水平 

分 类 号：R587.1[医药卫生—内分泌]