家庭医生模式对社区代谢综合征156例干预效果影响.docVIP

家庭医生模式对社区代谢综合征156例干预效果影响 　　【摘 要】 目的：探讨家庭医生模式对社区代谢综合征（MS）干预效果的影响。方法：选取312例社区代谢综合征患者作为研究对象，采用数字随机法将患者分为对照组和观察组各156例。对照组行个体化药物治疗，观察组在对照组基础上采用家庭医生模式实施全程跟踪观察，观察干预1年后两组血糖、血脂、体质量等的变化，评估患者对疾病的知晓率。结果：观察组干预1年后BMI、HbAlC、空腹血糖、胰岛素抵抗指数、TC均明显低于对照组，差异具有统计学意义（P0.05）；观察组干预后知晓率为94.87%显著高于对照组79.49%，差异具有统计学意义（P0.05）。结论：家庭医生模式能够提高社区MS患者血糖、血脂等控制率，有利于患者提高对疾病相关知识认知度。 　　【关键词】 社区；代谢综合征；家庭医生模式；干预效果 　　【中图分类号】R589 【文献标志码】 A 【文章编号】1007-8517（2015）09-0149-02 　　Abstract：ObjectiveTo explore the intervention effect of family doctor mode on community patients with metabolic syndrome（MS）. Methods312 cases of patients with metabolic syndrome in community as the research object， were randomly divided into the observation group and the control group， The control group underwent individualized drug therapy， the observation group in the control group on the basis of using the family physician model to implement tracking observation， observed the changes of blood glucose， blood lipid， body mass and others in two groups after intervene 1 year， evaluation of patient the awareness rate of the disease. ResultsIn observation group， received nursing intervention for 1 years after BMI， HbAlC， fasting blood glucose， insulin resistance index， TC were significantly lower than control group， difference was statistical significant （P0.05）. Awareness rate after the intervention in observation group of 94.87% was significantly higher than that of control group 79.49%， differences were statistically significant （P0.05）. ConclusionFamily doctor nursing mode can improve blood glucose， blood lipid control rate of community MS patients， is beneficial for patients to improve the knowledge on the relative disease awareness. 　　Keywords：Community； Metabolic syndrome； Family physician model； Blood lipid； Intervention effect 　　代谢综合症（MS）是以血糖调节异常、高血脂、肥胖等为始动因素，以胰岛素抵抗为共同病理基础的临床症候群。流行病学研究结果显示，全世界MS的发病率为25%～34%，近年来发病率呈明显上升趋势[1]。MS的发病机制尚不明确，可能与免疫因素、运动情况、饮食、遗传因素等存在关系。因MS具有长期性和社会性，可通过积极饮食、药物等干预预防疾病。家庭医生是我国医疗卫生改革的重要举措，在预防社区疾病中具有较高的应用价值。