家庭医生式健康管理对2型糖尿病航天职工血糖和自我管理水平的影响

发布时间：2018-02-23 20:45

本文关键词： 型糖尿病家庭医生式健康管理　出处：《中国老年学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的了解家庭医生式健康管理服务对航天职工2型糖尿病(T2DM)患者相关健康指标的干预效果。方法以北京市某航天企业职工中300例T2DM患者为研究对象,实施家庭医生式健康管理干预,观察干预后24个月的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb A1c)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、体重指数(BMI)等指标的变化情况。结果与干预前相比,干预期后患者FPG平均下降1.48 mmol/L,2 h PG平均下降2.42 mmol/L,Hb A1c平均下降0.38%,TG平均降低0.16 mmol/L,舒张压(DBP)平均下降7.96 mm Hg,以上各项指标干预前后差异显著(P0.05);患者收缩压(SBP)和Hb A1c,LDL-C和Hb A1c干预后联合达标率分别提升4.01%和5.33%,差异无统计学意义;SBP和LDL-C和Hb A1c干预后联合达标率下降0.21%(P0.05);患者相关知识平均分干预后较干预前平均提升1.08分(P0.05);患者自我管理水平在饮食控制、规律运动、血糖监测、足部护理和高低血糖处理五个维度上,干预后得分明显高于干预前(P0.05)。结论家庭医生式健康管理干预模式有效提升了航天职工中T2DM患者的血糖控制水平、相关健康知识和自我管理水平。
[Abstract]:Objective to investigate the intervention effect of family doctor health management service on related health indexes in aerospace workers with type 2 diabetes mellitus (T2DM). Methods 300 patients with T2DM in a certain aerospace enterprise in Beijing were studied. The implementation of family doctor-style health management intervention, The changes of fasting blood glucose (FPG) in 24 months after intervention, 2 hours of postprandial blood glucose and 2 hours of PGN, HbA1cP, TGN, LDL-C0 and BMIs were observed. The average FPG decreased by 1.48 mmol 路L ~ (-1) h PG decreased 2.42 mmol / L HbA1c decreased by 0.38 mmol 路L ~ (-1) TG decreased by 0.16 mmol 路L ~ (-1) and diastolic blood pressure decreased by 7.96 mm Hg.The above indexes were significantly different before and after intervention (P _ (0.05); SBP) and HB A _ (1) LDL-C and HB. After the intervention of A1c, the rate of reaching the standard was increased by 4.01% and 5.33, respectively. There was no significant difference between SBP and LDL-C and HbA1c after intervention, the rate of reaching the standard decreased by 0.21 and P0.05; the average score of patients' related knowledge increased by 1.08 scores and the average score of P0.05 after intervention; the self-management of patients. Level in diet control, The scores of regular exercise, blood glucose monitoring, foot nursing and hyperglycemia treatment were significantly higher after intervention than those before intervention (P 0.05). Conclusion Family doctor health management intervention model can effectively improve the blood glucose control level of T2DM patients in aerospace workers. Relevant health knowledge and self-management level.
【作者单位】：航天中心医院;
【基金】：航天科工集团公司医疗卫生科研项目基金(2012-JKBZ-005)
【分类号】：R587.1

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