基于全科医师团队合作糖尿病管理模式探索.docVIP

基于全科医师团队合作糖尿病管理模式探索 　　摘 要 目的：探?基于全科医师团队合作的糖尿病社区管理模式的效果。方法：通过分层抽样选取我社区2型糖尿病患者共计600例，使用随机数法将600例糖尿病患者分为干预组（300例）和对照组（300例）。对照组中男性108例，女性192例；平均年龄为（63.48±7.13）岁，干预组中男性134例，女性166例；平均年龄为（62.75±7.20）岁。对照组不进行管理。对干预组运用基于全科医师团队合作的糖尿病社区管理模式进行管理。干预前后，分别测定2组糖化血红蛋白、甘油三酯、总胆固醇、收缩压、舒张压、体重指数。结果：管理前两组患者糖化血红蛋白、总胆固醇、总甘油三脂、收缩压、收缩压、体质指数等的平均水平差异均无统计学意义（P0.05）。干预1年后，干预组患者的糖化血红蛋白、总胆固醇、总甘油三脂、收缩压、收缩压、体质指数平均水平均低于对照组，差异均有统计学意义（P0.05）。结论：基于全科医师团队合作的糖尿病社区管理模式，对糖尿病患者进行连续的、一体化的、多方位管理的模式，充分利用各方的医疗资源，可以有效地长期控制糖尿病。 　　关键词 糖尿病；全科医师团队；模式 　　中图分类号：R587.1 文献标志码：A 文章编号：1006-1533（2017）24-0057-03 　　Exploration of diabetic management mode based on general practitioner team cooperation 　　LI Xiaoqing， WANG Yaqian， HUA Bin 　　（Langxia Community Health Service Center of Jinshan District， Shanghai 201516， China） 　　ABSTRACT Objective： To explore the effect of the diabetic community management mode based on the cooperation of general practitioners （GP） team. Methods： A total of 600 patients with type 2 diabetes mellitus in our community were selected by stratified sampling and divided into an intervention group （300 cases） and a control group （300 cases） by random number method. In the control group， there were 108 males and 192 females， with an average age of （63.48 ± 7.13） years， and there were 134 males and 166 females in the intervention group， with an average age of （62.75 ± 7.20） years. The control group was not managed. The intervention group was managed with the diabetes community management mode based on GP team cooperation. Before and after the intervention， glycosylated hemoglobin， triglyceride， total cholesterol， systolic blood pressure， diastolic blood pressure and body mass index were measured in the 2 groups. Results： The average levels of glycosylated hemoglobin， total cholesterol， triglycerides， systolic blood pressure， systolic blood pressure and body mass index in the two groups before treatment were not statistically significant （P 0.05）. After 1 year of intervention， the levels of glycosyl