家庭医生健康管理在糖尿病患者中的应用效果

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　　[摘要]目的 探討家庭医生健康管理在糖尿病患者中的应用效果。方法 选取本院2015年6月～2018年2月收治的56例糖尿病患者作为研究对象。按照奇偶数法分为甲组和乙组，每组28例。甲组实施常规健康管理，乙组在甲组的基础上给予家庭医生健康管理模式。采用糖尿病生活质量量表对两组患者干预前后的生活质量进行评价，并比较两组患者的医疗费用、空腹血糖、餐后2 h血糖和糖化血红蛋白（HbA1c）的变化及并发症总发生率。结果 两组患者干预前的生活质量评分比较，差异无统计学意义（P>0.05）;干预后，乙组的生活质量评分明显低于甲组，差异有统计学意义（P<0.05）。干预后，乙组患者的医疗费用明显低于甲组，差异有统计学意义（P<0.05）。干预前，两组患者的空腹血糖、餐后2 h血糖和HbA1c比较，差异无统计学意义（P>0.05）;干预后，乙组患者的空腹血糖、餐后2 h血糖和HbA1c明显低于甲组，差异有统计学意义（P<0.05）;干预后，两组患者的空腹血糖、餐后2 h血糖和HbA1c明显低于干预前，差异有统计学意义（P<0.05）。干预后，乙组患者的并发症总发生率明显低于甲组，差异有统计学意义（P<0.05）。结论 家庭医生管理模式有可效改善患者的生活质量和血糖水平，减轻其经济负担，降低远期并发症发生率，这种管理模式值得大范围使用。
　　[关键词]糖尿病;家庭医生;糖尿病管理;并发症;生活质量
　　[中图分类号] R587.1          [文献标识码] A          [文章编号] 1674-4721（2019）8（b）-0027-04
　　[Abstract] Objective To explore the application effect of family doctor health management in diabetic patients. Methods All of 56 diabetic patients admitted to our hospital from June 2015 to February 2018 were selected as the study subjects. According to the odd-even number method， the patients were divided into group A and group B， with 28 cases in each group. Routine health management was implemented in group A， and family doctor health management mode was given in group B on the basis of group A. The quality of life of patients in the two groups before and after intervention was evaluated by the diabetes quality of life scale， and the changes of medical expenses， fasting blood glucose， 2 h postprandial blood glucose and glycosylated hemoglobin （HbA1c） and the overall incidence of complications were compared in patients between the two groups. Results There was no significant difference in quality of life score between the two groups before intervention （P>0.05）. After intervention， the quality of life score of group B was obviously lower than that of group A， and the difference was statistically significant （P<0.05）. After intervention， the medical expenses of group B were lower than that of group A， and the difference was statistically significant （P<0.05）. There were no significant differences in fasting blood glucose， 2 h postprandial blood glucose and glycosylated hemoglobin in patients between the two groups before intervention （P>0.05）. After intervention， fasting blood glucose， 2 h postprandial blood glucose and HbA1c in patients of group B were lower than those in group A， and the differences were statistically significant （P<0.05）. After intervention， fasting blood glucose， 2 h postprandial blood glucose and HbA1c in patients of the two groups were significantly lower than those before intervention， and the differences were statistically significant （P<0.05）. After intervention， the overall incidence of complications in patients of group B was lower than that in group A， and the difference was statistically significant （P<0.05）. Conclusion Family doctor management model can effectively improve patients′ quality of life and blood sugar level， reduce patients′ economic burden， and reduce the incidence of long-term complication， and this management model deserves to be widely used.
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