家庭医生式服务对社区糖尿病患者治疗依从性的影响

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the effect of family doctor service on the treatment compliance of community diabetic patients.Methods A total of 100 diabetic patients who signed community-based family doctor service agreements with this community health service center from January 2015 to January 2017 were selected as the observation group.According to the patients′condition,health intervention and medical management were given by professional medical care team.Another 100 diabetic patients who did not choose family doctor service during the diagnosis were randomly selected as the control group.The self-made questionnaire was applied on the survey of basic knowledge of diabetes and treatment compliance before and after the intervention,and the blood glucose(fasting early morning,postprandial 2 h blood glucose),glycosylated hemoglobin and other indicators were tested before and after intervention,and were statistically analyzed.Results Drug use rate according to doctor′s suggestions,and regular measurement rate of blood glucose after intervention in both groups were significantly higher than those before intervention,while the self-withdrawal rate was significantly lower than that before intervention,the differences were statistically significant(P＜0.05).Drug use rate according to doctor′s suggestions,and regular measurement rate of blood glucose in the observation group were higher than those in the control group.The self-withdrawal rate was significantly lower than that in the control group after intervention,the difference between the two groups was statistically significant(P＜0.05).The awareness rate of diabetes knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).The early morning fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin were similar in the two groups before intervention (P＞0.05);compared with the early morning fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group after intervention were better than those in the control group,the difference was statistically significant(P＜0.05).Conclusion Family doctor service can effectively enhance the mastery of treatment compliance and related knowledge in community diabetic patients and effectively help patients to lower blood sugar.

Key words： Family doctor service Community diabetes Knowledge mastering rate Blood sugar value Treatment compliance Effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Sen-biao

Cite this article:

WANG Sen-biao. Effect of family doctor service on treatment compliance in community diabetic patients[J]. 中国当代医药, 2018, 25(9): 148-151.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I9/148

[1]	陈虹，景素芬，潘华，等.家庭医生制综合干预对社区糖尿病患者血糖控制的效果评价[J].上海医药，2014，4（10）：46-48.
[2]	吴欢云，张伟东，吴菁，等.家庭医生责任制下城市远郊社区卫生服务模式的探索与实践[J].中国全科医学，2014，17（1）：22-24.
[3]	梁长秀，俞璐，徐如蕴，等.基于家庭医生制的社区糖尿病管理模式效果分析[J].上海医药，2016，37（14）：46-48.
[4]	王芳.中医理念与家庭医生式服务结合治疗糖尿病疗效观察[J].首都医药，2012，19（20）：29-31.
[5]	黄映淮，罗彩清，黄梅珍，等.家庭医生责任制对糖尿病患者生化指标的控制效果及评价[J].中华全科医学，2012，10（8）：1270-1276.
[6]	王希香，邹洪敏，解辉，等.老年糖尿病患者个体化健康教育与护理干预效果观察[J].中国临床研究，2013，26（1）：90-91.
[7]	陈碧华，赵立宇，陈志刚，等.多种家庭医生服务模式管理效果评价[J].中华全科医学，2013，11（11）：1795-1797.
[8]	于海霞，李智莉，闫明茹，等.社区家庭医生服务对糖尿病患者生活质量的影响[J].现代生物医学进展，2012，12（31）：6121-6123.
[9]	林盛强，王金明，综合健康管理模式对社区高血压合并糖尿病患者控制血压、血糖及服药依从性的影响[J].广西医学，2017，39（3）：400-402.
[10]	姬云涛，马春芳，王云娥，等.家庭医生式服务对社区2型糖尿病患者血糖、血脂、血压联合达标及生活质量的影响研究[J].中国全科医学，2016，19（19）：2328-2331.
[11]	黄春选，胡运红，谢艳华，等.社区家庭医生服务模式对糖尿病、高血压患者的影响[J].中国当代医药，2016，23（15）：133-136.
[12]	史超，陈良，袁艳，等.社区家庭医生糖尿病链式分层管理的血糖控制情况及其影响因素分析[J].山东医药，2015，13（8）：60-62.
[13]	禹颖，李莉，刘如渝，等.社区家庭医生服务在糖尿病患者二级预防中的管理效果分析[J].浙江预防医学，2013，25（9）：25-27.
[14]	高玉梅.社区糖尿病患者家庭医生规范化管理效果分析[J].吉林医学，2013，34（11）：2018-2019.
[15]	孟仲莹，杜兆辉.开展家庭医师签约服务的体会[J].上海医药，2012，33（22）：21-24.