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中文摘要: 目的 探讨社区糖尿病分阶段达标管理模式对血糖控制不佳的2型糖尿病(T2DM)患者的疗效。方法 将240例血糖控制不佳的T2DM患者随机分为两组。对照组(n=120)按照规范进行管理，研究组(n=120)采用社区糖尿病“5+1”SDTM追踪管理模式。比较两组血糖控制、并发症检查率及生活质量改善情况。结果 管理1年后，两组FPG、2hPG及HbA1c下降，血压、LDL-C达标率和糖尿病并发症筛查率升高，研究组改善程度明显优于对照组(P＜0.05)。管理1年后，研究组WHOQOL-BREF量表的生理、心理和社会关系维度评分高于对照组(P＜0.05)。研究组签约医生就诊率、预约门诊率和签约服务满意率较对照组升高(P＜0.05)。结论 STDM模式下社区T2DM管理有助于提高血糖控制不佳的T2DM患者的血糖控制，增强自我管理依从性，改善生存质量。
Abstract:OBJECTIVE To explore the clinical effect of grading management mode of diabetes in communities in patients with type 2 diabetes mellitus with poor blood glucose control. METHODS 240 T2DM patients with poor glycemic control were randomly divided into two groups. The control group(n=120)was managed according to the standard, while the research group(n=120)adopted the "5+1" SDTM tracking management model of community diabetes. Blood glucose control, complication rate and quality of life improvement were compared between the two groups.RESULTS After 1 year of management, FPG, 2hPG and HbA1c in the two groups were decreased, blood pressure, LDL-C compliance rate and diabetes complication screening rate were increased, and the improvement degree of the research group was significantly better than that of the control group(P＜0.05).After 1 year of management, the physiological, psychological and social relationship scores of WHOQOL-BREF scale in the research group were higher than those in the control group(P＜0.05).The treatment rate, outpatient appointment rate and service satisfaction rate of contracted doctors in the study group were higher than those in the control group(P＜0.05).CONCLUSION Community T2DM management in STDM mode is helpful to improve blood glucose control in T2DM patients with poor blood glucose control, enhance self-management compliance, and improve quality of life.
文章编号：3202007012 中图分类号：R587.1 文献标志码：
基金项目:
| 作者 | 单位 |
| 胡海英①，金春花② |
| Author Name | Affiliation |
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