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效果观察

范海涛

[摘要] 目的 分析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效果。方法  随机将该社区的300例2型糖尿病患者作为研究对象，对其进行随机分组后，一组给与家庭医生式服务，为研究组，一组给与常规的管理，为对照组，研究展开时间为2017年7月—2018年10月，对比两组患者的血糖、血脂、血压联合达标及生活质量。结果 研究组患者血糖、血脂、血压联合达标率为93.33%（140例），高于对照组的78.67%（118例），两组数据比较差异有统计学意义（P<0.05）;研究組患者躯体健康评分为（83.6±3.2）分，心理健康评分为（85.7±3.8）分，情感功能评分为（81.6±4.7）分，社会功能评分为（86.7±3.6）分，各项生活质量评分均高于对照组（P<0.05）。同时，研究组患者的依从性明显优于对照组，两组比较差异有统计学意义（P<0.05）。结论 家庭医生式服务可以有效稳定社区2型糖尿病患者的血糖、血脂、血压，并提高患者的生活质量，建议进行推广。

[关键词] 家庭医生式服务;社区2型糖尿病;血糖、血脂、血压联合达标;生活质量

[中图分类号] R587          [文献标识码] A          [文章编号] 1672-4062（2019）07（a）-0194-03

Effect of Family Doctor-type Service on Blood Glucose， Blood Lipids and Blood Pressure in Patients with Type 2 Diabetes Mellitus in Combination with Quality of Life

FAN Hai-tao

Office of Community Health Service Center， Longshan Street， Huairou District， Beijing， 101400 China

[Abstract] Objective To analyze the effect of family doctor-style services on blood glucose， blood lipids and blood pressure in community type 2 diabetes patients and their quality of life. Methods A total of 300 patients with type 2 diabetes in our community were randomly selected. After randomization， a group was given a family doctor-type service as the study group and a group were given regular management as a control group. The time was from July 2017 to October 2018. The blood glucose， blood lipids and blood pressure were compared in the two groups and the quality of life was compared. Results The combined rate of blood glucose， blood lipid and blood pressure in the study group was 93.33%（140 cases）， which was higher than that in the control group 78.67% （118 cases）. The data of the two groups were statistically significant（P<0.05）; the body health score of the study group was （83.6±3.2）points， the mental health score was（85.7±3.8）points， the emotional function score was（81.6±4.7）points， the social function score was（86.7±3.6）points， and the quality of life scores were higher than the control group （P<0.05）. At the same time， the compliance of the study group was significantly better than that of the control group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion The family doctor-style service can effectively stabilize the blood glucose， blood lipids and blood pressure of patients with type 2 diabetes in the community and improve the quality of life of patients. It is recommended to promote it.