摘要
目的 探讨医联体模式下家庭医生团队服务对社区老年糖尿病患者授权行为及健康状况的影响.方法 便利选取2018年3-5月福中社区健康服务中心管辖的4个社区内参加老年人免费体检且确诊为糖尿病患者158例,按是否签约家庭医生分为干预组79例和对照组79例,对照组是未签约家庭医生的老年人,按照社区慢病随访模式给予常规慢病管理.干预组是在常规慢病管理基础上签约家庭医生,个体评估,分别开展小组管理、群体干预、一对一指导.在干预前、干预后6个月评价2组患者的体质量指数、腹围、空腹血糖、糖化血红蛋白(HbA1c)、自我管理能力等.结果 2组患者干预前各项指标比较差异无统计学意义(P>0.05).干预6个月后,干预组患者腹围、空腹血糖及HbA1c分别为(79.5 ± 5.0)cm、(6.1 ± 0.7)mmol/L、(6.3 ± 0.6)%,优于对照组的(85.2 ± 11.4)cm、(6.5 ± 0.8)mmol/L、(6.8 ± 0.7)%,差异有统计学意义(t=2.142、3.345、4.820,P<0.05或0.01);干预组患者自我授权能力评分、自我管理能力评分分别为(37.7 ± 1.7)、(44.3 ± 6.8)分,高于对照组的(30.1 ± 2.5)、(36.5 ± 2.8)分,差异有统计学意义(t=22.344、9.427,P<0.01).结论 医联体模式下的家庭医生团队服务能够提高社区老年糖尿病患者的授权行为,改善健康状况.
Objective To explore the effect of family doctor team service in the medical association model on empowerment behavior and health status of elderly patients with diabetes in the community.Methods A total of 158 patients with diabetes who were diagnosed with free physical examination and were diagnosed as diabetic patients in 4 communities under the jurisdiction of Fuzhong Community Health Service Center From March 2018 to May 2018,we conveniently divided into intervention group(79 cases)and the control group(79 cases),according to whether or not to sign a family doctor.The control group was older people who did not sign up for a family doctor,the control group was given routine intervention according to the community chronic disease follow-up mode,while the intervention group gave the contracted family doctor on the basis of routine intervention,and carried out individual assessment,group management,group intervention,one-on-one guidance,and the body mass index,abdominal circumference,fasting blood glucose,HbA1c,self-management ability of the two groups were evaluated before intervention and 6 months after intervenation.Results There was no significant difference between the two groups before intervention(P>0.05).After 6 months of intervention,abdominal circumference,fasting blood glucose and HbA1c was(79.5±5.0)cm,(6.1±0.7)mmol/L,(6.3±0.6)%in the intervention group,(85.2±11.4)cm,(6.5±0.8)mmol/L,(6.8±0.7)%in the control group,and there was significant difference between the two groups(t=2.142,3.345,4.820,P<0.05 or 0.01);the self-empowerment ability and the self-management was(37.7±1.7),(44.3±6.8)in the intervention group,(30.1±2.5),(36.5±2.8)in the control group,and there was significant difference between the two groups(t=22.344,9.427,P<0.01).Conclusion The family doctor team service under the model of medical association can improve empowerment behavior of elderly diabetic patients in the community and improve their health status.
作者
李蓉
任青卓
高钰琳
Li Rong;Ren Qingzhuo;Gao Yulin(Department of Community and Geriatric Nursing,School of Nursing,Southern Medical University,Guangzhou 510515,China;Fuzhong Community Health Service Center,Shenzhen Hospital,Guangzhou University of Traditional Chinese Medicine(Futian),Shenzhen 518034,China;Shenzhen Health Capacity Building and Continuing Education Center international Primary Health Care Research Institute,Shenzhen 518020,China)
出处
《中国实用护理杂志》
2019年第35期2736-2741,共6页
Chinese Journal of Practical Nursing
关键词
医联体
家庭医生团队服务
糖尿病
授权行为
健康状况
Medical association
Family doctor team service
Diabetes
Empowerment behavior
Health status
