摘要
目的基于社区管理模式探讨家庭医生签约服务模式对空巢老年糖尿病的影响。方法选取2018年3月-2019年7月广西医科大学第二附属医院社区卫生服务中心签约家庭医生服务模式及未签约家庭医生服务模式的空巢老年糖尿病患者各92例,签约家庭医生的患者设为观察组,未签约家庭医生的患者设为对照组。观察并比较2组患者干预前和干预1个月后、干预3个月后、干预6个月后、干预1年后的空腹血糖、糖化血红蛋白及自我管理水平;评估并比较2组血糖达标率、血压达标率、血脂达标率及联合达标率。结果干预后2组糖化血红蛋白和空腹血糖明显降低(P<0.05),且观察组干预3个月后、干预6个月后、干预1年后的糖化血红蛋白和空腹血糖明显低于对照组(P<0.05),重复测量结果显示,观察组糖化血红蛋白和空腹血糖数值下降趋势明显大于对照组(P<0.05);观察组干预后血糖达标率、血压达标率、血脂达标率及联合达标率均明显升高(P<0.05),且明显高于对照组(P<0.05);干预后2组自我管理水平明显升高(P<0.05),观察组干预1个月后、干预3个月后、干预6个月后、干预1年后自我管理水平明显高于对照组(P<0.05);观察组的干预满意度(98.91%)明显高于对照组(90.22%)(P<0.05)。结论家庭医生签约服务模式能够提高社区管理模式中糖尿病空巢老人血糖、血脂、血压的自我管理能力,降低患者糖化血红蛋白及血糖水平,提高患者满意度,有利于糖尿病病情控制。
Objective To explore the effects of family doctor contract service mode based on community management model on empty nest elderly patients with diabetes mellitus.Methods From March 2018 to July 2019,92 cases of emptynest elderly diabetic patients with contracted family doctor service mode and 92 ones of empty nest elderly diabetic patients without family doctor service mode in the Community Health Service Center of the Second Affiliated Hospital of Guangxi Medical University were selected,and the patients with contracted family doctors were set as the observation group and those without contracted family doctors were set as the control group.The levels of fasting blood glucose,glycosylated hemoglobin and selfmanagement level of the two groups were observed and compared before and after 1 month,3 months,6 months and 1 year of intervention.The blood glucose compliance rate,blood pressure compliance rate,blood lipid compliance rate and combined compliance rate were evaluated and compared between the two groups.Results After the intervention,the glycosylated hemoglobin and fasting blood glucose of the two groups were significantly decreased(P<0.05),and the glycosylated hemoglobin and fasting blood glucose of the observation group were significantly lower than those of the control group after 3 months,6 months and 1 year of intervention(P<0.05).Repeated measurement results showed that the decreasing trend of glycosylated hemoglobin and fasting blood glucose in the observation group was significantly greater than that in the control group(P<0.05).After the intervention,the blood glucose compliance rate,blood pressure compliance rate,blood lipid compliance rate and combined compliance rate of the observation group were significantly increased(P<0.05),and were significantly higher than those of the control group(P<0.05).After the intervention,the self-management level of the two groups was significantly increased(P<0.05),and the self-management level of the observation group after 1 month,3 months,6 months and 1 year of intervention was significantly higher than that of the control group(P<0.05).The intervention satisfaction of the observation group(98.91%)was significantly higher than that of the control group(90.22%)(P<0.05).Conclusion The family doctor contract service mode can improve the self-management ability of blood glucose,blood lipid and blood pressure of empty nest elderly with diabetes in the community management model,reduce the level of glycosylated hemoglobin and blood glucose of patients,improve the satisfaction of patients,and is conducive to the control of diabetes.
作者
磨燕
周毅江
梁榕
黄勤
Mo Yan;Zhou Yijiang;Liang Rong;Huang Qin(Department of General Medicine,Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,530004,P.R.China;Community Health Service Center of High-Tech Industrial Park,Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,530007,P.R.China;Department of Endocrinology,Shanghai ChanghaiHospital,Shanghai,200433,P.R.China)
出处
《老年医学与保健》
CAS
2021年第1期142-146,共5页
Geriatrics & Health Care
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200908)。
关键词
空巢老人
糖尿病
社区管理
家庭医生
服务模式
empty nest elderly
diabetes
community management
family doctor
service mode
