摘要
目的探讨社区家庭医生服务在糖尿病患者二级预防中的管理成效。方法通过问卷调查和随访服务,在实施家庭医生服务前后对186例糖尿病患者的糖尿病相关知识知晓率、依从性、血糖控制情况的差异进行统计分析。结果实施家庭医生服务前后186例患者对糖尿病相关知识的知晓率和依从性分别从56.45%和47.85%上升到96.67%和76.67%,体重指数、空腹血糖、餐后2 h血糖和糖化血红蛋白等指标分别从27.39 kg/m2、7.79 mmol/L、12.84 mmol/L和7.68%下降到26.19 kg/m2、6.87 mmol/L、11.08 mmol/L和6.93%,差异均有统计学意义(P<0.05),且在家庭医生服务2年期间未出现明显并发症。结论社区家庭医生服务在糖尿病患者二级预防中的管理成效显著,应进一步坚持和完善社区家庭医生服务制度。
Objective To explore the management effect of community family doctor service in secondary prevention of diabetic patients. Methods Questionnaire survey and follow - up were conducted among 186 diabetic patients. And the differences in the awareness rate of diabetes - related knowledge, the compliance and glycemic control before and after community family doctor service were analyzed. Results After community family doctor service, the awareness rate and the compliance of the 186 patients increased from 56.45% and 47.85%to 96. 67% and 76.67%, respectively; BMI, fasting blood glucose, 2 -hour postmeal blood glucose and glycosylated hemoglobin decreased from 27.39 kg/m2, 7.79 mmol/L, 12.84 mmol/L and 7.68% to 26.19 kg/m2 , 6.87 mmol/L, 11.08 mmol/L and 6.93%, respectively. All the differences were statistically signifieant. Conclusion There is a remarkable management effect of community family doctor serviee in secondary prevention of diabetic patients. The community family doctor service system should be further upheld and improved.
出处
《浙江预防医学》
2013年第9期25-27,共3页
Zhejiang Journal of Preventive Medicine
关键词
社区家庭医生
糖尿病
二级预防
健康教育
Community family doctor
Diabetes
Secondary prevention
Health education
