社区医师随访对社区2型糖尿病管理效果分析

目的 分析社区医师随访对社区开展2型糖尿病管理的效果.方法 随机选取住院2型糖尿病患者99例,按照区组随机化方法分为管理组（49例）和对照组（50例）.由社区医师对管理组患者在社区进行2型糖尿病随访管理,对照组患者自觉到内分泌专科门诊随访.比较两组患者进行差异化管理10个月后相关指标的变化.结果 管理组管理后体质量指数（BMI）、空腹血糖（FBG）、三酰甘油（TG）、总胆固醇（TC）等指标明显优于对照组,差异有统计学意义（P＜0.05）;糖尿病相关行为遵医率明显优于对照组,差异有统计学意义（P＜0.05）.影响2型糖尿病患者血糖控制多因素分析中,高BMI、高FBG、高TG、高TC是影响2型糖尿病患者血糖控制的危险因素,而高的血压达标率、高的糖尿病饮食依从率、高的遵医嘱用药率则对2型糖尿病患者血糖控制有促进作用.结论 社区开展社区医师2型糖尿病随访管理有助于提高糖尿病管理效果及质量.

Effect of community physicians' following-up on the management of type 2 diabetes in community

Objective To analyze the effect of community physicians＇ following-up on type 2 diabetes management in community.Methods A total of 99 local patients with type 2 diabetes,who were selected randomly and divided into management group （49 cases） and control group（50 cases）.The patients in management group were accepted diabetes management in community with community physicians＇ following-up.The patients in control group were followed to see the doctor in endocrinology clinic based ontheir consciousness.The changes of related indicators between two groups after 10 months of different kinds of diabetes management were compared.Results After management,the levels of body mass index （BMI）,fasting blood glucose （FBG）,triacylglycerol （TG）,total cholesterol （TC）,etc in management group were significantly better than those in control group,and there were significant differences （P ＜ 0.05）.The medical compliance rate of diabetes-related behavior in management group was significantly better than that in control group,and there was significant difference （P ＜ 0.05）.The multi-factor analysis showed that high level of BMI,FPG,TG,TC were risk factors of blood glucose control in type 2 diabetes （P ＜ 0.05）,while high level of success rate of blood pressure,prescribed rate of medication,adherence rates of diabetes diet had promotion to blood glucose control of type 2 diabetes.Conclusion Type 2 diabetes management in community with community physicians＇following-up is useful for improving diabetes management effectiveness and quality.