以糖尿病家族为单位的健康管理模式效果评价研究

发布时间：2018-01-22 07:45

本文关键词： 糖尿病型病例管理治疗结果　出处：《中国全科医学》2016年29期 　论文类型：期刊论文

【摘要】：目的探讨以糖尿病家族为单位的健康管理模式应用的效果。方法采用便利抽样法,选取甘肃省人民医院2015年2—6月,以2型糖尿病收治入院,病情稳定出院且来自两个大小、规模相仿的社区卫生服务中心的患者82例,按照所属社区卫生服务中心分为试验组与对照组,各41例,试验组和对照组家族人群各58例。两组患者均采用常规健康管理,包括糖尿病的进程、临床表现与危害、三级预防策略、糖尿病治疗五驾马车、并发症的预防及处理等,试验组同时采取家族人群同步参与模式,干预时间12个月。观察干预前及干预后,两组患者自我管理能力及家族人群不良生活方式的改善情况。结果干预前,两组患者饮食控制、规律锻炼、遵医嘱服药、足部护理、处理高低血糖评分及总分比较,差异均无统计学意义(P0.05);干预前,试验组患者自我监测评分低于对照组(P0.05);干预后,试验组患者饮食控制、规律锻炼、遵医嘱服药、自我监测、足部护理、处理高低血糖评分及总分高于对照组(P0.05)。干预前,两组家族人群主副食摄入不均率、尼古丁依赖检测量表(FTND)评分、酒精使用障碍筛查量表(AUDIT)评分、体育活动等级量表(PARS-3)评分比较,差异均无统计学意义(P0.05);干预后,两组家族人群FTND评分比较,差异无统计学意义(P0.05);干预后,试验组家族人群主副食摄入不均率、AUDIT评分低于对照组,PARS-3评分高于对照组(P0.05)。结论以糖尿病家族为单位的健康管理模式对2型糖尿病患者自我管理能力提高有明显促进作用,同时还可强化高危人群的糖尿病防治理念,有助于纠正其不良生活方式,从而降低其糖尿病发生风险。
[Abstract]:Objective to explore the effect of health management model based on diabetes family. Methods convenience sampling method was used to select Gansu Provincial people's Hospital from 2015 to June, 2015, to be admitted to hospital with type 2 diabetes mellitus. 82 patients who were discharged stably from two community health service centers of similar size and size were divided into trial group and control group according to their community health service centers, each with 41 cases. There were 58 cases in the trial group and 58 cases in the control group. The patients in both groups were treated with routine health management, including the progress of diabetes, clinical manifestations and hazards, three-level prevention strategy, and the treatment of diabetes. The prevention and treatment of complications, the trial group simultaneously adopted the family population synchronous participation model, intervention time 12 months. Observe the intervention before and after intervention. Results before intervention, the patients in the two groups had diet control, regular exercise, taking medicine according to doctor's instructions, foot nursing. There was no significant difference in high hypoglycemia score and total score between the two groups (P 0.05). Before intervention, the self-monitoring score of patients in the test group was lower than that in the control group (P 0.05). After intervention, the patients in the test group were higher than those in the control group in diet control, regular exercise, medication, self-monitoring, foot nursing, treatment of high hypoglycemia score and total score. The difference rate of main and side food intake, nicotine dependence test scale (FTND) and alcohol use disorder screening scale (AUDITS) were observed in the two groups. There was no significant difference in the scores of PARS-3 (P 0.05). After intervention, there was no significant difference in FTND scores between the two groups (P 0.05). After intervention, the score of AUDIT was lower in the trial group than that in the control group. The PARS-3 score was higher than that in the control group (P 0.05). Conclusion the health management model based on diabetes family can promote the self-management ability of patients with type 2 diabetes mellitus. At the same time, it can strengthen the idea of diabetes prevention and cure in high risk group, which is helpful to correct their bad life style and reduce the risk of diabetes.
【作者单位】：宁夏医科大学护理学院;甘肃省人民医院;
【基金】：国家自然科学基金资助项目(71363004)
【分类号】：R473.5
【正文快照】： 2型糖尿病(type 2 diabetes,T2DM)患病率高、危害大,可造成沉重的经济和社会负担。临床流行病学研究表明,2型糖尿病是遗传和环境因素相互作用而导致的代谢性疾病,具有明显的家族聚集倾向,有糖尿病家族史的人群罹患该病的风险明显高于一般人群[1-2]。由于家族成员不仅享有相同

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