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中国医药导刊 ›› 2019, Vol. 21 ›› Issue (10): 575-578.

• 临床医学 •    下一篇

医院-社区-个人糖尿病一体化管理模式的临床探讨

赵玲,柯亭羽,周湘明   

  1. 昆明医科大学第二附属医院
  • 收稿日期:2019-11-27 出版日期:2019-10-31 发布日期:2019-10-31

Clinical Discussion on Hospital-Community-Individual Diabetes Integrated Management Model

  • Received:2019-11-27 Online:2019-10-31 Published:2019-10-31

摘要: 目的:评价医院-社区-个人糖尿病一体化管理模式的效果。方法:选取2017年1~12月我院收治的糖尿病患者258例作为研究对象,按照随机数字表法分为对照组(n=128)和实验组(n=130),其中对照组患者采取常规管理模式,实验组患者采取医院-社区-个人糖尿病一体化管理模式,对比两组患者糖尿病管理效果。结果:实验组患者自我管理能力评分、患者满意度评分均高于对照组(P<0.05),实验组患者糖化血红蛋白(HbA1c)、空腹血糖(FBG)水平、餐后2 h血糖(PBG)水平均低于对照组,实验组患者并发症发生率(2.34%)低于对照组(10.77%),差异均有统计学意义(P<0.05)。结论:在糖尿病患者治疗过程中,采取医院-社区-个人糖尿病一体化管理可有效控制血糖及HbA1c水平,提升患者自我管理能力和患者满意度,临床应用价值较高。

Abstract: Objective: To evaluate the effectiveness of the hospital-community-individual diabetes integrated management model. Methods: 258 patients with diabetes mellitus admitted in our hospital from January to December 2017 were selected as subjects,and it was divided into the control group (n=128) and the experimental group (n=130) according to the random number table method. Patients the control group were adopted routine management model,and patients in the experimental group were adopted the hospital-community-personal diabetes integrated management model. There was comparison of diabetes management effects between the two groups patients.Results: The self-management ability score and patient satisfaction score of the experimental group were higher than the control group(P<0.05). The glycosylated hemoglobin(HbA1c), fasting blood glucose(FBG) level and 2h postprandial blood glucose(PBG) level in the experimental group were lower than the control group(P<0.05). The incidence of complications in the experimental group (2.34%) was lower than that in the control group (10.77%), the difference was statistically significant(P<0.05). Conclusion: In the treatment of diabetic patients, hospital- community- individual diabetes integrated management can effectively control blood sugar and HbA1c levels, improve patient self-management ability and patient satifaction degree, and clinical promotion and application value is high.

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