| 医院-社区管理模式对2型糖尿病患者自我行为和血糖水平的影响 |
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| 引用本文： | 陈敏玲,;曾海燕,;刘玉琼,;谢桂珍.医院-社区管理模式对2型糖尿病患者自我行为和血糖水平的影响[J].现代临床护理,2014(6):18-21. |
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| 作者姓名： | 陈敏玲 ;曾海燕 ;刘玉琼 ;谢桂珍 |
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| 作者单位： | [1]桂林市卫生局,广西桂林541002; [2]桂林市医学情报所,广西桂林541002; [3]桂林市人民医院,广西桂林541003; [4]桂林市第二人民医院,广西桂林541001 |
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| 基金项目： | 本课题为桂林市科学研究与技术开发计划项目,项目编号为20090113. |
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| 摘 要： | 目的探讨医院-社区管理模式对2型糖尿病患者自我行为和血糖水平的影响。方法选择社区336例2型糖尿病患者,应用医院-社区管理模式对患者进行干预,干预前后评价患者血糖相关指标及自我行为情况。结果干预后患者服药依从性、合理饮食、定期检查、自我监测、运动锻炼方面达标率均较干预前高;空腹血糖(fasting blood-glucose,FBG)、餐后2 h血糖(2 hour postprandial blood glucose,2 hPBG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)均优于干预前,差异均有统计学意义(P0.05)。结论实施医院-社区管理模式能帮助患者建立正确的行为,促进患者血糖水平的改善。
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| 关 键 词： | 糖尿病 2型 自我行为 血糖 社区卫生服务 |
Influence of hospital-community integrated management mode on self behavior and blood glucose level in patients with typeⅡdiabetes |
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| Institution: | Chen Minling, Zeng Haiyan, Liu Yuqiong, Xie Guizhen |
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| Abstract: | Objective To investigate the influence of hospital-community integrated management mode on self behavior and blood glucose level in patients with typeⅡdiabetes .Method Three hundred and thirty-six patients with type II diabetes were treated with hospital-community integrated management. The index of biochemical indicators and self behaviors were compared between pre-and post-intervention.Result After intervention,the patients had improvements not only in medication compliance,rationale dieting,regular examination and self monitoring and physical exercises,but also in the indexes of biochemical indicators including fasting blood glucose（FBG）,2 hour postprandial blood glucose（2 hBG）, glycosylated hemoglobin（HbA1 c）,（all P〈0.05）.Conclusion The hospital-community integrated management mode is helpful for the patients to form a right behavioral pattern and thus promoting the normalizations of biochemical indicators. |
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| Keywords: | self behavior blood glucose community health service |
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