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中文摘要: 目的 观察家庭医生慢性病健康管理服务对社区自行注射胰岛素糖尿病患者的影响。方法 选取2016年12月—2017年4月上钢社区卫生服务中心的两个慢性病管理服务团队所管理的社区注射胰岛素患者200例,随机分为对照组(n=100)和实验组(n=100)。实验组给予针对胰岛素患者特点的家庭医生慢性病管理服务,对照组给予一般慢性病管理服务,比较两组患者胰岛素注射、医疗废弃物管理方面知识信念行为以及血糖的变化情况。结果 ⑴通过家庭医生的糖尿病慢性病管理服务,实验组患者的胰岛素储存知识、注射知识和注射行为掌握情况优于对照组(P<0.05);在注射副作用方面,实验组发生率少于对照组(32.00%VS66.00%,P<0.05)。⑵实验组废弃物处理知识、废弃物回收行为和废弃物分类正确率均高于对照组(P<0.05)。⑶实验组空腹血糖和糖化血红蛋白达标情况显著高于对照组(P<0.05)。结论 家庭医生慢性病健康管理服务可以提高社区自行注射胰岛素糖尿病患者的管理水平,值得进一步推广。
Abstract:OBJECTIVE To observe the effect of family doctor’s chronic disease health management service on self-injected insulin diabetic patients in community. METHODS From December 2016 to April 2017, 200 cases of community insulin injection patients managed by two chronic disease management service teams in Shanggang Community Health Service Center were randomly divided into control group (n=100) and experimental group (n=100). The experimental group was given chronic disease management service by family doctors according to the characteristics of insulin patients, while the control group was given general chronic disease management service. The changes of knowledge, belief and behavior in insulin injection, medical waste management and blood glucose were compared between these two groups. RESULTS (1) With the family doctor’s diabetes chronic disease management service, patients in the experimental group had better knowledge of insulin storage, injection knowledge and injection behavior than patients in the control group (P<0.05); in terms of side effects of injection, the incidence in the experimental group was lower than that in the control group (32.00% vs 66.000%, P<0.05). (2) The knowledge of waste disposal, waste recycling behavior and the correct rate of waste classification in the experimental group were higher than the control group (P < 0.05). (3) The fasting blood glucose and glycosylated hemoglobin in the experimental group were significantly higher than the control group (P<0.05). CONCLUSION Family doctor’s chronic disease health management service could improve the management level of self-injected insulin diabetes patients in the community, which was worth further promotion.
文章编号:3201907019 中图分类号:R587.1 文献标志码:
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刘平阳① |
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