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目的探讨家庭保健员配合综合管理对社区糖尿病患者疾病认知及血糖的影响。方法回顾性分析2012年1月—2016年12月间在北京市西城区白纸坊社区卫生服务中心就诊的糖尿病患者312例,将社区管理的156例患者组成对照组,将家庭保健员配合综合管理的156例患者组成观察组,对比两组患者干预前后治疗效果、血糖控制情况及患者对糖尿病知识认知情况。结果观察组总有效率(92.3%)明显高于对照组,差异有统计学意义(P<0.05);观察组干预后患者空腹血糖(6.3±1.2)mmol/L、餐后2 h血糖(8.4±1.9)mmol/L、糖化血红蛋白(7.3±1.2)%、体重指数(22.1±2.3)kg/m2明显低于对照组,差异有统计学意义(P<0.05);观察组患者对糖尿病知识认知率,预防措施(90.4%)、预防并发症措施(93.6%)、管理理念(89.1%)明显高于对照组,差异有统计学意义(P<0.05)结论家庭保健员配合社区综合管理的方式有效改善患者血糖情况,提高患者对糖尿病知识的认知度,提升患者生活质量。
Objective To explore the impact of family health workers cooperating with integrated management on disease cognition and blood sugar in community diabetic patients. Methods A retrospective analysis of 312 diabetic patients treated in Baizifang Community Health Service Center, Xicheng District, Beijing from January 2012 to December 2016 included 156 community-managed patients as control group and family health workers combined with comprehensive A total of 156 patients under observation were included in the observation group. The therapeutic effect, blood glucose control and cognitive status of patients with diabetes were compared between the two groups before and after intervention. Results The total effective rate (92.3%) in the observation group was significantly higher than that in the control group (P <0.05). The fasting blood glucose (6.3 ± 1.2) mmol / L, postprandial blood glucose ± 1.9) mmol / L, HbA1c (7.3 ± 1.2)% and body mass index (22.1 ± 2.3) kg / m2 were significantly lower than those in the control group (P <0.05) (90.4%), complication prevention measures (93.6%) and management philosophy (89.1%) were significantly higher than those of the control group (P0.05) .Conclusion Family health workers cooperate with community integrated management Way to effectively improve the patient’s blood glucose, improve patient awareness of diabetes knowledge and improve patient quality of life.