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家庭医生制服务对社区2型糖尿病患者健康干预效果分析
作者:徐林莉宋慧君徐枫严丽敏来源:《上海医药》2017年第02期
摘要目的:研究家庭医生制服务对2型糖尿病患者的健康干预效果。方法:选择2015年7月2016年6月已纳入社区卫生服务中心糖尿病随访管理签约的200例2型糖尿病患者,随机分为干预组和对照组,每组100例。对干预组实行签约家庭医生制服务,每月开展各种形式的健康教育、专题讲座、答疑、诊疗咨询等进行个性化健康干预,同时每三个月进行血糖检测;对照组根据糖尿病随访管理签约的要求,每季度一次开展糖尿病随访管理。两组干预并观察12个月。结果:干预1年后,干预组的健康知识知晓率、各项疾病自我管理能力得分均优于对照组,差异均有统计学意义(P005)。结论:个性化的家庭医生制服务健康干预能有效提升2型糖尿病患者的相关疾病预防知识,提高患者自我管理能力,改变患者的遵医行为,从而提高糖尿病治疗的效果。关键词2型糖尿病;健康教育;干预效果中图分类号:R5871文献标志码:A文章编号:10061533(2017)02004603A
alysisoftheeffectoffamilydoctorsystemserviceo
thehealthi
terve
tio
forthepatie
tswithtype2diabetesmellitusi
commu
ityXULi
li,SONGHuiju
,XUFe
g,YANLimi
(Huaihaizho
gluCommu
ityHealthServiceCe
terofHua
gpuDistrict,Sha
ghai200025,Chi
a)ABSTRACTObjective:Tostudytheeffectofthefamilydoctorsystemserviceo
thehealthi
terve
tio
forthepatie
tswithtype2diabetesmellitusMethods:FromJuly2015toJu
e2016,200casesoftypeIIdiabeteswhosig
edtheco
tracta
dwerei
cludedi
thecommu
ityhealthservicece
terfordiabetesfollowupma
ageme
twereselecteda
dra
domlydividedi
toa
i
terve
tio
groupa
daco
trolgroupwith100caseseachTheco
tractfamilydoctorsystemservicewasimpleme
tedforthepatie
tsofthei
terve
tio
group,a
dvariousformsofhealtheducatio
,lectures,a
sweri
gquestio
s,cou
seli
ga
dotherperso
alizedhealthi
terve
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werecarriedouteverymo
thAtthesametime,bloodsugarwasdetectedeverythreemo
thsAccordi
gtotherequireme
tsofthefollowupma
ageme
tco
tract,thema
ageme
tofdiabeteswascarriedoutfortheco
trolgroupo
ceeveryquarterThetwogroupswerei
terve
eda
dobservedfor12mo
thsResults:After1yearofi
terve
tio
,theaware
essrateofhealthk
owledgea
dselfma
ageme
tabilityofeachdiseasei
thei
terve
tio
groupwerebettertha
thosei
theco
trolgroup,a
dthe
f龙源期刊网httpwwwqika
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differe
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