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目的探讨4P医学模式对中老年2型糖尿病患者的影响。方法随机抽取吉首市社区31例年龄≥50岁确诊为糖尿病≥1年的患者进行问卷调查,并一对一实施4P医学模式,比较干预前后患者相关行为及生化指标的变化。计量资料组内比较采用配对t检验;计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果干预后患者在血糖良好的标准、低血糖的处理、按时检测血糖、餐后锻炼、锻炼前准备、合理安排饮食、对患糖尿病持良好心态方面的知晓率明显提高,差异均有统计学意义(均P<0.05)。执行4P医学模式后患者FPG、BMI[(7.3±2.1)mmol/L、(26.8±4.8)kg/m2]均比干预前[(8.6±3.0)mmol/L、(28.2±5.2)kg/m2]有了明显改善,差异均有统计学意义(均P<0.05)。结论 4P医学模式对中老年2型糖尿病患者有积极影响,应逐步完善4P医学模式,增加易行性,以控制糖尿病的患病率及并发症。
Objective To investigate the effect of 4P medical model on type 2 diabetes in middle-aged and elderly patients. Methods A total of 31 patients aged ≥50 years diagnosed with diabetes ≥ 1 year were randomly selected from the community of Jishou City for questionnaire survey. One-on-one 4P medical model was performed to compare the changes of relevant behaviors and biochemical indexes before and after intervention. Measurement data within the group using paired t test; count data were compared using the χ2 test, P <0.05 for the difference was statistically significant. Results After the intervention, the patients’ awareness of the good state of diabetes was significantly improved in patients with good standard of blood glucose, treatment of hypoglycemia, blood glucose on time, postprandial exercise, preparation before exercising, rational diet, and the differences were statistically significant (All P <0.05). The FPG and BMI in patients who underwent 4P medical treatment were significantly higher than those before intervention [(8.6 ± 3.0) mmol / L, (28.2 ± 5.2) kg / m2 ] Had a significant improvement, the differences were statistically significant (P <0.05). Conclusion The 4P medical model has a positive effect on type 2 diabetes in middle-aged and elderly patients. The 4P medical model should be gradually improved to increase the feasibility and control the prevalence and complications of diabetes mellitus.