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中国初级卫生保健:2020,34(7):41-42
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家庭医生签约服务在2型糖尿病患者社区管理中的效果分析
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中文摘要: 目的 探讨家庭医生签约服务模式对社区2型糖尿病患者健康管理的效果,为提高社区2型糖尿病健康管理水平提供依据。方法 选取稽山街道鹤池社区管理的80例2型糖尿病患者,随机分为观察组和对照组,每组各40例。对照组运用常规随访管理,观察组运用家庭医生签约服务模式管理。一年后观察其服务满意率、空腹血糖、餐后2小时血糖和血脂指标。结果 观察组的服务满意度和HDL-L显著高于对照组,差异有统计学意义(P<0.05);空腹血糖、餐后2小时血糖、HbA1c、LDL-L、TC和TG低于对照组,差异有统计学意义(P<0.05)。结论 家庭医生签约管理服务可明显提升糖尿病患者的服务满意率、控制血糖、降低糖化血红蛋白值和改善血脂指标,从而能更好提升社区糖尿病患者健康管理的效果。
Abstract:OBJECTIVE To investigate the effect of a family doctor signing a contract on the community management of 2-type diabetes patients, thus providing sufficient evidence for enhancing the healthy management level of 2-type diabetes patients.METHODS The 80 patients with 2-type diabetes were chosen who have lived in the community of Hechiyuan during the period of March, 2018 to February ,2019. These patients were at random divided into two groups, one of which is the treatment group, including 40 patients , another of which is the control group with 40 patients. The sex and age of all these patients aren’t statistically significant difference. In the two groups, the routine follow-up management was used in the control group, while the service mode management of a family doctor signing a contract was applied in the treatment group. After one year, the following indices were observed including the satisfactory rate of the service, the fasting blood glucose, the 2-hour postprandial blood glucose, the blood fat.RESULTS After one year of the service of the family doctor signing a contract, the satisfaction rate of the service for diabetic patients in the treatment group was significantly higher than that of the control group(P<0.05) , some other indices, such as the fasting blood glucose, the 2-hour postprandial blood glucose, the blood fat, obviously lower than those in control group(P<0.05).CONCLUSION The service manageme-nt of a family doctor signing a contract plays a key role in enhancing the satisfactory rate of servicing the diabetes patients, controlling the blood glucose level, lowering the glycosylated hemoglobin and the blood fat level, thereby better elevating the effect of the healthy management on the diabetes patients in the community.
文章编号:3202007011     中图分类号:R587.1    文献标志码:
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娄玉兰①  
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