在線客服

咨詢熱線

家庭醫生健康管理在糖尿病患者中的應用效果

作者:未知

  [摘要]目的 探討家庭醫生健康管理在糖尿病患者中的應用效果。方法 選取本院2015年6月~2018年2月收治的56例糖尿病患者作為研究對象。按照奇偶數法分為甲組和乙組,每組28例。甲組實施常規健康管理,乙組在甲組的基礎上給予家庭醫生健康管理模式。采用糖尿病生活質量量表對兩組患者干預前后的生活質量進行評價,并比較兩組患者的醫療費用、空腹血糖、餐后2 h血糖和糖化血紅蛋白(HbA1c)的變化及并發癥總發生率。結果 兩組患者干預前的生活質量評分比較,差異無統計學意義(P>0.05);干預后,乙組的生活質量評分明顯低于甲組,差異有統計學意義(P<0.05)。干預后,乙組患者的醫療費用明顯低于甲組,差異有統計學意義(P<0.05)。干預前,兩組患者的空腹血糖、餐后2 h血糖和HbA1c比較,差異無統計學意義(P>0.05);干預后,乙組患者的空腹血糖、餐后2 h血糖和HbA1c明顯低于甲組,差異有統計學意義(P<0.05);干預后,兩組患者的空腹血糖、餐后2 h血糖和HbA1c明顯低于干預前,差異有統計學意義(P<0.05)。干預后,乙組患者的并發癥總發生率明顯低于甲組,差異有統計學意義(P<0.05)。結論 家庭醫生管理模式有可效改善患者的生活質量和血糖水平,減輕其經濟負擔,降低遠期并發癥發生率,這種管理模式值得大范圍使用。
  [關鍵詞]糖尿病;家庭醫生;糖尿病管理;并發癥;生活質量
  [中圖分類號] R587.1          [文獻標識碼] A          [文章編號] 1674-4721(2019)8(b)-0027-04
  [Abstract] Objective To explore the application effect of family doctor health management in diabetic patients. Methods All of 56 diabetic patients admitted to our hospital from June 2015 to February 2018 were selected as the study subjects. According to the odd-even number method, the patients were divided into group A and group B, with 28 cases in each group. Routine health management was implemented in group A, and family doctor health management mode was given in group B on the basis of group A. The quality of life of patients in the two groups before and after intervention was evaluated by the diabetes quality of life scale, and the changes of medical expenses, fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin (HbA1c) and the overall incidence of complications were compared in patients between the two groups. Results There was no significant difference in quality of life score between the two groups before intervention (P>0.05). After intervention, the quality of life score of group B was obviously lower than that of group A, and the difference was statistically significant (P<0.05). After intervention, the medical expenses of group B were lower than that of group A, and the difference was statistically significant (P<0.05). There were no significant differences in fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin in patients between the two groups before intervention (P>0.05). After intervention, fasting blood glucose, 2 h postprandial blood glucose and HbA1c in patients of group B were lower than those in group A, and the differences were statistically significant (P<0.05). After intervention, fasting blood glucose, 2 h postprandial blood glucose and HbA1c in patients of the two groups were significantly lower than those before intervention, and the differences were statistically significant (P<0.05). After intervention, the overall incidence of complications in patients of group B was lower than that in group A, and the difference was statistically significant (P<0.05). Conclusion Family doctor management model can effectively improve patients′ quality of life and blood sugar level, reduce patients′ economic burden, and reduce the incidence of long-term complication, and this management model deserves to be widely used.
轉載注明來源:http://www.xvthda.live/6/view-15027943.htm

?
内蒙时时彩最新开奖结果