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目的:观察分析社区糖尿病患者应用改良家庭医生责任制管理的方法与效果。方法:选取2013~2014年与本家庭医生团队签约的160例社区糖尿病患者作为研究对象,根据有无采用改良家庭医生责任制管理分成改良组与对照组,改良组实施改良家庭医生责任制管理,对照组实施常规家庭医生责任制管理,对比患者血糖控制及生活行为等变化情况,并比较各组管理效果。结果:改良组与对照组患者经管理后的各项指标与管理前相较均有明显改善,P<0.05。其中改良组患者管理后的空腹血糖值、体重指数、依从性及疾病相关知识掌握率等又明显优于对照组管理后效果,P<0.05。结论:改良家庭医生责任制管理可有效改变社区糖尿病患者不良生活习惯,提高患者依从性及知晓率,在血糖控制上具有较好效果。
Objective: To observe and analyze the methods and effects of improving family doctor’s responsibility system management in community diabetes patients. Methods: A total of 160 community diabetes patients who signed a contract with the family physician team from 2013 to 2014 were selected as the research object. According to whether the improved family doctor’s responsibility system management was divided into the improvement group and the control group, the improvement group implemented the reform of the family doctor’s responsibility system, In the control group, the routine family doctor responsibility system was administered, and the changes of patients’ blood glucose control and living behaviors were compared. The management effects of each group were compared. Results: After the management of the improved group and the control group, the indexes of all the patients were significantly improved compared with those before management (P <0.05). Among them, the fasting blood glucose level, body mass index, compliance and disease-related knowledge of patients in the improved group were significantly better than those in the control group (P <0.05). Conclusion: Improving the management of family doctor responsibility system can effectively change the bad habits of patients with diabetes in community, improve patient compliance and awareness, and has good effect on blood sugar control.