The effect of family doctor's individual strategy in the management of diabetes mellitus in a community of Shanghai
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摘要: 目的 探讨家庭医生个体化策略在社区2型糖尿病患者管理中的应用效果。 方法 选取上海某社区149例2型糖尿病患者,随机分为传统组73例和个体组76例。传统组应用传统家庭医生责任制,个体组应用家庭医生个体化策略。比较2组患者管理前、后的病情及管理结束时的满意度调查结果。 结果 管理6个月后,传统组患者各不良习惯率较管理前差异无统计学意义(P>0.05),个体组患者各不良习惯率显著低于管理前及传统组,差异均有统计学意义(P<0.05)。血糖、血脂和BMI情况:传统组患者各指标稍低于管理前,但差异无统计学意义(P>0.05);个体组患者各指标均显著优于传统组及管理前,差异均有统计学意义(P<0.05)。个体组患者对家庭医生团队服务满意度(88.16%)明显高于传统组(72.60%),差异有统计学意义(P<0.05);个体组患者对自身疾病控制情况的满意度(77.63%)显著高于传统组(47.95%),差异有统计学意义(P<0.01)。 结论 家庭医生个体化策略依据患者的个体情况实施管理,能更有效的促进糖尿病患者的健康行为,达到更好地改善患者病情、促进医患关系和谐的效果,值得在家庭医生慢病管理中推广应用。Abstract: Objective To explore the effect of family doctor individual health management strategy in the management of patients with type 2 diabetes mellitus. Methods Total 149 patients with type 2 diabetes were selected and randomly divided into the traditional group of 73 cases and the individual management group in 76 cases in Shanghai.The traditional group was given the responsibility system of family doctors,while the individual management group was implemented the individual strategy management.The patient satisfaction of both groups before and after the management and the results of satisfaction survey were compared. Results After the management of 6 months,the bad habits rate of patients in the traditional group was not improved(P>0.05),while in the individual management group was significantly improved(lower than that before the management and the rate of traditional group(P<0.05).Blood glucose,blood lipid and body mass index (BMI) situation: each index of the traditional group were slightly lower than before the management,the difference was not statistically significant(P>0.05);while each index in the individual management group were significantly better than those of the traditional group and the rate before the management,the differences were statistically significant(P<0.05).The satisfaction with family doctor team services was 88.16% in the individual management group and 72.60% in the traditional group,the difference was statistically significant(P<0.05);the patients satisfaction with the disease control was 77.63% in the individual management group and 47.95% in the traditional group,the difference was statistically significant(P<0.01). Conclusion Based on the individual situation of patients,the family doctor individual strategy can more effectively promote the health behavior of patients with diabetes,improve the patient’s condition,promote the harmonious relationship between doctors and patients.It is worth to promote the application of family doctor in chronic disease management.
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