论文部分内容阅读
目的评价家庭医生制服务对非酒精性脂肪肝患者家庭管理的效果。方法选取长风社区签约家庭医生制服务60岁以上居民患有非酒精性脂肪肝并且肝功能正常的患者100例,随机分为研究组和对照组,每组50例。研究组采用家庭医师制服务模式进行管理,对照组采用常规的门诊随访管理。通过12个月的随访和管理,分别对两组患者干预前后的实验室指标(空腹血糖、总胆固醇、甘油三酯、低密度胆固醇)、非酒精性脂肪肝防治的知晓情况、脂肪肝治疗依从性等进行比较。结果研究组通过家庭医生制服务管理模式后,患者的空腹血糖(5.87±1.24)mmol/L、总胆固醇(4.87±1.04)mmol/L、甘油三酯(1.89±0.97)mmol/L、低密度脂蛋白(3.19±0.76)mmol/L分别明显低于干预前,差异均有统计学意义(P<0.05)。研究组患者及其家庭对非酒精性脂肪肝知晓率较干预前明显提高,差异有统计学意义(P<0.05)。研究组患者对干预治疗遵医行为较干预前明显提高,差异有统计学意义(P<0.05)。结论采用家庭医生制服务模式对社区非酒精性脂肪肝患者实施管理,可明显改善患者的家庭管理效果。
Objective To evaluate the effect of family doctor service on family management of nonalcoholic fatty liver disease patients. Methods A total of 100 patients with non-alcoholic fatty liver disease and normal hepatic function were enrolled in Changfeng Community-signed family doctor system to serve residents over 60 years old. They were randomly divided into study group and control group with 50 cases in each group. The research group used the family doctor service mode to manage, while the control group used routine outpatient follow-up management. Through 12-month follow-up and management, the laboratory parameters (fasting blood glucose, total cholesterol, triglycerides, low density cholesterol) and prevention and treatment of non-alcoholic fatty liver were compared between the two groups before and after treatment, Sex and other comparison. Results The study group’s fasting blood glucose (5.87 ± 1.24) mmol / L, total cholesterol (4.87 ± 1.04) mmol / L, triglyceride (1.89 ± 0.97) mmol / L and low density Lipoprotein (3.19 ± 0.76) mmol / L were significantly lower than before intervention, the difference was statistically significant (P <0.05). The awareness rate of non-alcoholic fatty liver in study group and their families was significantly higher than that before intervention, the difference was statistically significant (P <0.05). Patients in study group had significantly higher compliance with interventions than before intervention, with significant difference (P <0.05). Conclusion The management of community non-alcoholic fatty liver disease using family doctor service model can significantly improve the family management of patients.