本文關鍵詞： 糖尿病 型 病例管理 治療結果　出處：《中國全科醫(yī)學》2016年29期 　論文類型：期刊論文

【摘要】：目的探討以糖尿病家族為單位的健康管理模式應用的效果。方法采用便利抽樣法,選取甘肅省人民醫(yī)院2015年2—6月,以2型糖尿病收治入院,病情穩(wěn)定出院且來自兩個大小、規(guī)模相仿的社區(qū)衛(wèi)生服務中心的患者82例,按照所屬社區(qū)衛(wèi)生服務中心分為試驗組與對照組,各41例,試驗組和對照組家族人群各58例。兩組患者均采用常規(guī)健康管理,包括糖尿病的進程、臨床表現(xiàn)與危害、三級預防策略、糖尿病治療五駕馬車、并發(fā)癥的預防及處理等,試驗組同時采取家族人群同步參與模式,干預時間12個月。觀察干預前及干預后,兩組患者自我管理能力及家族人群不良生活方式的改善情況。結果干預前,兩組患者飲食控制、規(guī)律鍛煉、遵醫(yī)囑服藥、足部護理、處理高低血糖評分及總分比較,差異均無統(tǒng)計學意義(P0.05);干預前,試驗組患者自我監(jiān)測評分低于對照組(P0.05);干預后,試驗組患者飲食控制、規(guī)律鍛煉、遵醫(yī)囑服藥、自我監(jiān)測、足部護理、處理高低血糖評分及總分高于對照組(P0.05)。干預前,兩組家族人群主副食攝入不均率、尼古丁依賴檢測量表(FTND)評分、酒精使用障礙篩查量表(AUDIT)評分、體育活動等級量表(PARS-3)評分比較,差異均無統(tǒng)計學意義(P0.05);干預后,兩組家族人群FTND評分比較,差異無統(tǒng)計學意義(P0.05);干預后,試驗組家族人群主副食攝入不均率、AUDIT評分低于對照組,PARS-3評分高于對照組(P0.05)。結論以糖尿病家族為單位的健康管理模式對2型糖尿病患者自我管理能力提高有明顯促進作用,同時還可強化高危人群的糖尿病防治理念,有助于糾正其不良生活方式,從而降低其糖尿病發(fā)生風險。
[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.
【作者單位】： 寧夏醫(yī)科大學護理學院;甘肅省人民醫(yī)院;
【基金】：國家自然科學基金資助項目(71363004)
【分類號】：R473.5
【正文快照】： 2型糖尿病(type 2 diabetes,T2DM)患病率高、危害大,可造成沉重的經(jīng)濟和社會負擔。臨床流行病學研究表明,2型糖尿病是遺傳和環(huán)境因素相互作用而導致的代謝性疾病,具有明顯的家族聚集傾向,有糖尿病家族史的人群罹患該病的風險明顯高于一般人群[1-2]。由于家族成員不僅享有相同

【相似文獻】

相關期刊論文 前1條

1 黃純賢;唯才是舉打破家族管理[J];醫(yī)藥產(chǎn)業(yè)資訊;2005年02期

相關會議論文 前7條

1 周陽敏;;現(xiàn)代企業(yè)后家族管理引論[A];管理科學與系統(tǒng)科學研究新進展——第6屆全國青年管理科學與系統(tǒng)科學學術會議暨中國科協(xié)第4屆青年學術年會衛(wèi)星會議論文集[C];2001年

2 龍麗群;;家族控制實現(xiàn)機制:理論、實踐與啟示[A];第五屆（2010）中國管理學年會——公司治理分會場論文集[C];2010年

3 賀小剛;連燕玲;張遠飛;;家族內部權力集中度、偏離度與治理效率——基于家族上市公司的實證研究[A];上海市經(jīng)濟學會學術年刊（2010）[C];2010年

4 朱沆;黃婷;韓曉燕;;家族涉入管理存在外部性嗎?關系比較與職業(yè)經(jīng)理的心理所有權[A];第八屆（2013）中國管理學年會——創(chuàng)業(yè)與中小企業(yè)管理分會場論文集[C];2013年

5 鄭耀群;王安民;李晉堯;;我國家族企業(yè)的管理創(chuàng)新模式——后家族管理[A];全國第九屆企業(yè)信息化與工業(yè)工程學術會議論文集[C];2005年

6 陳瑛s，

本文編號：1454117