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目的探讨一致性与非一致性糖尿病患者的患病率对英国家庭医疗糖尿病治疗效果的影响,假设一致性或非一致性糖尿病与糖尿病治疗效果相关。方法对纳入的7 884份病历档案进行横断面研究,估算糖尿病及其他15种主要慢性病的患病率,并将其分为一致性糖尿病(发病机制相同,可采用相同管理方案)和非一致性糖尿病(发病机制或管理方案无直接关系)。采用具体指标对糖尿病治疗效果进行评价,指标包括8个治疗过程和3个治疗中间成果。采用线性回归模型分析不同患病情况对糖尿病治疗效果的影响。结果在7项一致性的情况下,肥胖、慢性肾脏病、心房颤动及心力衰竭4项的患病率与糖尿病治疗效果呈正相关;在8项非一致性的情况下,癫痫和心理健康问题2项患病率与糖尿病的治疗效果呈负相关;其他一致性或非一致性情况下的研究与假定模型不匹配。结论英国家庭医疗糖尿病治疗效果与其他主要慢性病患病率相关,但一致性与非一致性模型无法对相关性的本质和趋势进行彻底解释。
Objective To investigate the effect of the prevalence of concomitant and non-concomitant diabetes on the treatment of family medical diabetes in the UK, and to hypothesize that consistent or non-concomitant diabetes is associated with the therapeutic effect of diabetes. Methods A cross-sectional study on 7 884 medical record files was conducted to estimate the prevalence of diabetes and other 15 major chronic diseases and to classify them into concomitant diabetes (same pathogenesis, same management protocol) and non-agreement Diabetes (Pathogenesis or management program is not directly related). Using specific indicators to evaluate the effect of diabetes treatment, the indicators include eight treatment courses and three treatment intermediate results. The linear regression model was used to analyze the effect of different illness on the treatment effect of diabetes. Results The prevalence rates of obesity, chronic kidney disease, atrial fibrillation and heart failure were positively correlated with the therapeutic effect of diabetes in the seven cases of consistency. In the case of eight non-consistencies, epilepsy and mental health problems 2 The prevalence of diabetes was inversely correlated with the treatment effect of diabetes; other studies that were consistent or not consistent with the hypothetical model did not match. Conclusion The efficacy of family medical diabetes in the UK is related to the prevalence of other major chronic diseases. However, the consistency and non-compliance models can not completely explain the nature and trend of the correlation.