四合一服务团队实施中医养生指导和健康宣教对2型糖尿病患者的干预效果评价.docVIP

“四合一”服务团队实施中医养生指导和健康宣教对2型糖尿病患者的干预效果评价 吴萍 黄武全 俞全英 吴晓玲 吕鹏 徐艳 上海市嘉定区南翔社区卫生服务中心全科医学科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 观察“四合一”服务团队实施中医养生指导对2型糖尿病患者的干预治疗效果。方法 将160例社区2型糖尿病患者随机分为2组。对照组80例, 通过签约家庭医生制服务系统管理, 并进行常规干预治疗和定期回访;治疗组80例, 在对照组的基础上建立以政府主导、社区卫生指导、居委会配合、志愿者协作的“四合一”服务团队, 并进行中医养生指导和健康宣教干预治疗。2组均治疗12个月后, 比较2组患者治疗前后空腹血糖 (FPG) 及糖化血红蛋白 (HbA1c) 水平变化情况, 以及对糖尿病知识、中医养生知识的掌握情况, 并比较2组患者治疗依从性情况。结果 治疗组治疗后FPG及HbA1c水平均明显低于对照组 (P0.05) , 治疗组治疗后糖尿病知识及中医养生知识的掌握情况评分均明显高于对照组 (P0.05) , 治疗组治疗依从性情况明显好于对照组 (P0.05) 。结论 通过“四合一”服务团队管理的干预模式, 采用中医养生指导和健康宣教干预治疗社区2型糖尿病患者, 可明显更好地控制患者FPG及HbA1c水平变化, 提高患者糖尿病知识及中医养生水平, 提高治疗依从性, 改善患者临床症状, 并预防糖尿病并发症的发生。 关键词： 糖尿病, 2型; 上工治未病; 中医养生学; 作者简介：吴萍 (1961—) , 女, 副主任医师, 学士。从事中医和全科医学临床及科研工作。 收稿日期：2017-06-05 基金：上海市嘉定区卫生和计划生育委员会2015年中医类科研立项项目 (编号:2015-KY-ZYY-07) Intervention effect evaluation of TCM health guidance carried out by“four in one”service team on type 2 diabetes WU Ping HUANG Wuquan YU Quanying Department of General Medicine, Nanxiang Community Health Service Center in Jiading District, Shanghai; Abstract： Objective To observe the intervention effect evaluation of TCM health guidance carried out by four in one service team on type 2 diabetes. Methods 160 patients with type 2 diabetes in community were randomly divided into the two groups. 80 cases in the control group were managed through signed the system of family doctor service, and routine interventions and regular visits were conducted. 80 cases in the treatment group were treated by four in one service team with government-led, community health guidance, neighborhood committees and volunteers coordination, and TCM health guidance and health propaganda intervention were conducted. The treatment course was 12 months in the two groups. The fasting plasma glucose ( FPG) and glycosylated hemoglobin ( HbA1c) before and after treatment, and the mastery condition of knowledge about diabetes and TCM health were compared in the two groups. The treatment c