家庭医生式服务对社区糖尿病患者治疗依从性影响.docVIP

家庭医生式服务对社区糖尿病患者治疗依从性影响 　　[摘要]目的 探?家庭医生式服务对社区糖尿病患者治疗依从性的影响。方法 选取2015年1月～2017年1月与本社区卫生服务中心签订社区家庭医生服务协议的100例糖尿病患者作为观察组，根据患者情况由专业医护团队给予健康干预和医疗管理。另随机选取就诊过程中未选择家庭医生服务的100例糖尿病患者作为对照组。应用自制调查问卷对两组患者干预前后的糖尿病基本知识、治疗依从性进行调查，检测两组患者干预前后的血糖（清晨空腹、餐后2 h血糖值）、糖化血红蛋白等指标并进行统计学分析。结果 两组患者干预后按医嘱用药率、定期测量血糖率明显高于干预前，而自行停药率明显低于干预前，差异均有统计学意义（P0.05）；干预后观察组的清晨空腹、餐后2 h血糖值、糖化血红蛋白改善优于对照组，差异有统计学意义（P0.05）。结论 家庭医生式服务能够有效提高社区糖尿病患者治疗依从性和相关知识的掌握度，有效帮助患者降低血糖。 　　[关键词]家庭医生式服务；社区糖尿病；知识掌握率；血糖值；治疗依从性；效果 　　[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721（2018）3（c）-0148-04 　　[Abstract]Objective To investigate the effect of family doctor service on the treatment compliance of community diabetic patients.Methods A total of 100 diabetic patients who signed community-based family doctor service agreements with this community health service center from January 2015 to January 2017 were selected as the observation group.According to the patients′ condition，health intervention and medical management were given by professional medical care team.Another 100 diabetic patients who did not choose family doctor service during the diagnosis were randomly selected as the control group.The self-made questionnaire was applied on the survey of basic knowledge of diabetes and treatment compliance before and after the intervention，and the blood glucose （fasting early morning，postprandial 2 h blood glucose），glycosylated hemoglobin and other indicators were tested before and after intervention，and were statistically analyzed.Results Drug use rate according to doctor′s suggestions，and regular measurement rate of blood glucose after intervention in both groups were significantly higher than those before intervention，while the self-withdrawal rate was significantly lower than that before intervention，the differences were statistically significant （P0.05）；compared with the early morning fasting blood glucose，2 h postprandial blood glucose and glycosylated hemoglobin in the observation group after intervention were better than those in the c