医院2型糖尿病慢性病管理模式及应用效果研究

王海英

吉林省人民医院内分泌科，吉林长春130000

医院2型糖尿病慢性病管理模式及应用效果研究

王海英

吉林省人民医院内分泌科，吉林长春130000

目的探讨和分析在实施了慢性病管理后，医院收治的2型糖尿病患者在进行血糖控制方面控制水平出现的变化。方法将医院就诊的2型糖尿病患者470例，以随机的方式划成两组，即观察组和对照组，每组均为235例，观察组患者采取的是慢性病管理模式，而对照组患者采取常规化的健康管理，然后，对比观察组和对照组患者的血糖控制指标。结果观察组患者的HBAlc、FPG与2 hPG指标均较干预之前有明显改善，分别是（6.3±1.7）%、（6.7±1.2）mmol/L、（10.3±2.4）mmol/L，显著低于对照组，观察组患者与对照组患者的HBAlc、FPG与2 hPG指标对比差异有统计学意义（P﹤0.05）。结论在实施慢性病管理之后，医院对收治的2型糖尿病患者在进行血糖控制方面取得了满意的效果，非常值得普及应用。

血糖控制；慢性病管理；糖尿病患者

［Abstract］Objective To study and analyze the changes of blood sugar control level of patients with type 2diabetes admitted and treated in our hospital after the implementation of chronic disease management.Methods 470 cases of patients with type 2diabetes diagnosed in our hospital were randomly divided into two groups with 235 cases in each，the observation group adopted the chronic disease management model，while the control group adopted the routine health management，and then the blood sugar control indicators of the two groups were compared.Results The HBAlc，FPG and 2 hPG indicators in the observation group after intervention were obviously improved compared with those before intervention，which were respectively（6.3±1.7）mmol/L，（6.7±1.2）mmol/L and（10.3±2.4）mmol/L，and these indicators were obviously lower than those in the control group，and there were obvious differences with statistical significance，P＜0.05.Conclusion The effect of blood sugar control of patients with type 2 diabetes in our hospital after the implementation of chronic disease management is satisfactory，which is worth popularization and application.

［Key words］Blood sugar control；Chronic disease management；Patients with diabetes

伴随着社会上老龄人口的日益增多，目前的医院卫生保健系统由于能力所限，已不能很好地满足慢性病患者在管理方面、及卫生保健服务方面的需求，有关学者对此进行了高度关注［1］。医院慢性病管理体系的建立，对于糖尿病患者等慢性疾病患者来讲，是一种切实有效的可行性干预措施［2］。国内有很多的糖尿病患者，无论是疾病本身，还是其引起的并发症等都对社会公众的健康，造成了十分不利的影响［3］。该研究采取医院慢性病管理模式对470例社区内的2型糖尿病患者实施了干预，干预后的效果令患者满意，现报道如下。……