农村家庭医生模式下糖尿病患者健康管理效果评价
2022-06-09
【论文摘要】：探讨农村家庭医生制模式下糖尿病患者健康管理的效果。方法：按照WHO关于糖尿病的诊断标准，从2012年5月—2014年4月，选择符合入选标准 并愿意参与调查的384人，以家庭医生制模式对研究对象实施健康咨询、健康教育、预约随访、专家会诊、健康评估等内容的健康管理。结果：在实施农村家庭医 生模式健康管理后，健康知识知晓率由38.72%提高至63.33%，差异有统计学意义（P<0.05），但65岁以上老年人组差异无统计学意义 （P>0.05）；对象遵医嘱服药、规律血糖监测两项健康就医行为，差异有统计学意义（P<0.05）；研究对象的空腹血糖（FBG）、糖化 血红蛋白（HbA1c）和体质量指数，差异均有统计学意义（P<0.05）。结论：农村家庭医生模式能有效地提高糖尿病患者的健康自我管理能力，有 助于提高糖尿病管理效果。
【论文关键词】家庭医生 糖尿病 健康管理 效果评价
Evaluation of the effect of the health management on the patients with diabetes under the rural family doctor mode
GU Hongying， TANG Junying， FANG Aiguo
ABSTRACT Objective： To explore the effect of the health management on the patients with diabetes under the rural family doctor mode. Methods： According to WHO diagnostic criteria for diabetes， from May 2012 to April 2014， 384 people who were eligible for inclusion criteria and willing to participate in the survey were selected as the research subjects to receive the health management， such as the health consultation， health education， medical appointment and follow-up， expert consultation， health assessment and so on. Results： After the implementation of the health management under the rural family doctor mode， the health knowledge awareness rate increased from 38.72% to 63.33%， and the difference had the statistical significance （P<0.05）， but there was no significant difference in the group of the elderly patients over 65 years old （P>0.05）. The two items of the health behaviors of the subjects to take medicine according to the doctor’s advice and regular blood glucose monitoring had the statistical significance （P<0.05）. Fasting plasma glucose （FBG）， glycosylated hemoglobin （HbA1c） and body mass index had the statistical significance （P<0.05）. Conclusion： The mode of the rural family doctor can effectively improve the health selfmanagement ability of the patients with diabetes， and help to improve the effect of diabetes management.
KEY WORDS family doctor； diabetes； health management； effective evaluation
近年来，随着经济高速发展和人们生活方式的改变，我国20岁以上成年人糖尿病患病率已达9.7%[1]。糖尿病的死亡率仅次于心血管疾病、恶 性肿瘤，成为第三位致死病因的疾病[2]，严重影响患者的生命、生活质量，给家庭和社会造成巨大的经济负担[3]。社区糖尿病患者血糖控制效果较差与多种 因素有关，包括患者治疗依从性不佳、糖尿病知识的知晓率较低、不良生活习惯、自我管理能力差、社区医师随访不足等[4-5]。开展家庭医生制服务是落实医 改政策，承担居民“健康守门人”职责的现实要求。本中心自2012年实施家庭医生制度建设，并将糖尿病等慢性病健康管理作为重点项目融入家庭医生服务内 涵，以探索建立适合农村实际的糖尿病患者健康管理方式。
1 对象与方法
1.1 研究对象
【论文关键词】家庭医生 糖尿病 健康管理 效果评价
Evaluation of the effect of the health management on the patients with diabetes under the rural family doctor mode
GU Hongying， TANG Junying， FANG Aiguo
ABSTRACT Objective： To explore the effect of the health management on the patients with diabetes under the rural family doctor mode. Methods： According to WHO diagnostic criteria for diabetes， from May 2012 to April 2014， 384 people who were eligible for inclusion criteria and willing to participate in the survey were selected as the research subjects to receive the health management， such as the health consultation， health education， medical appointment and follow-up， expert consultation， health assessment and so on. Results： After the implementation of the health management under the rural family doctor mode， the health knowledge awareness rate increased from 38.72% to 63.33%， and the difference had the statistical significance （P<0.05）， but there was no significant difference in the group of the elderly patients over 65 years old （P>0.05）. The two items of the health behaviors of the subjects to take medicine according to the doctor’s advice and regular blood glucose monitoring had the statistical significance （P<0.05）. Fasting plasma glucose （FBG）， glycosylated hemoglobin （HbA1c） and body mass index had the statistical significance （P<0.05）. Conclusion： The mode of the rural family doctor can effectively improve the health selfmanagement ability of the patients with diabetes， and help to improve the effect of diabetes management.
KEY WORDS family doctor； diabetes； health management； effective evaluation
近年来，随着经济高速发展和人们生活方式的改变，我国20岁以上成年人糖尿病患病率已达9.7%[1]。糖尿病的死亡率仅次于心血管疾病、恶 性肿瘤，成为第三位致死病因的疾病[2]，严重影响患者的生命、生活质量，给家庭和社会造成巨大的经济负担[3]。社区糖尿病患者血糖控制效果较差与多种 因素有关，包括患者治疗依从性不佳、糖尿病知识的知晓率较低、不良生活习惯、自我管理能力差、社区医师随访不足等[4-5]。开展家庭医生制服务是落实医 改政策，承担居民“健康守门人”职责的现实要求。本中心自2012年实施家庭医生制度建设，并将糖尿病等慢性病健康管理作为重点项目融入家庭医生服务内 涵，以探索建立适合农村实际的糖尿病患者健康管理方式。
1 对象与方法
1.1 研究对象