家庭医生制综合干预对社区糖尿病患者血糖控制效果评价.docVIP

家庭医生制综合干预对社区糖尿病患者血糖控制效果评价 　　摘 要 目的：观察家庭医生制综合干预对社区糖尿病患者血糖控制的效果。方法：选择2012年3月至2013年12月社区内270例糖尿病患者作为对象，按随机数字表分为观察组135例和对照组135例。对照组给予糖尿病社区常规管理，观察组实行家庭医生制综合干预管理，两组患者均干预1年，干预前后进行空腹血糖糖化血红蛋白测定，比较两组血糖控制情况。同时，通过问卷形式调查患者对糖尿病知识的知晓及治疗依从性情况。关键词 糖尿病 家庭医生制 社区 血糖 　　中图分类号：R544.1 文献标识码：A 文章编号：1006-1533（2014）10-0046-03 　　ABSTRACT Objective： To observe the effect of the comprehensive intervention of the family doctor system on blood glucose control of the diabetic patients in the community. Methods： Two hundred and seventy diabetic patients in the community were selected from March 2012 to December 2013 and divided into an observation group and a control group with 135 cases each according to random number table. The patients in the control group received the community regular management， while those in the observation group received the comprehensive intervention management of the family doctor system. The patients of both groups received intervention for 1 year. The levels of fasting blood glucose （FBG）， 2 h postprandial blood glucose （2 hPG）， and glycosylated hemoglobin （HbA1c） were detected before and after the intervention in two groups. The blood glucose controls were compared between two groups. Meanwhile， the compliance of drug treatment and the knowledge concerned with diabetes were investigated with the questionnaire among the patients. Results： （1） After intervention， the levels of FBG， 2 hPG， and HbA1c in the observation group were significantly lower than those before intervention Conclusion： The comprehensive intervention of the family doctor system can improve the diabetic awareness and treatment compliance of the patients， which may be of benefit to blood glucose control and decrease occureence of diabetes complications.It is worth promoting in community. 　　KEY WORDS diabetes； family doctor system； community； blood glucose 　　随着人民生活水平的提高，糖尿病的发病率呈逐年增长趋势，已成为临床的常见病、多发病，是引起心脑血管并发症的重要因素，是继肿瘤、心血管疾病之后导致死亡的第3大病因，对患者的身体健康及生活造成极大威胁[1]。糖尿病的防治是全球性的公共卫生问题，社区糖尿病患者血糖控制达标率明显低于其他二、三