全科医生服务模式下2型糖尿病患者三高控制情况分析(1)
[摘要] 目的 分析与探讨在全科医生服务模式下，2型糖尿病患者控制三高(高血压、高血脂、高尿酸)的情况分析。方法 选取2018年3月—2019年3月于该中心门诊就诊的168例合并三高的糖尿病患者为研究对象，按照是否接受全科医生服务模式为依据，分为对照组和观察组，每组84例。对照组采用传统服务模式(生物医学模式)，观察组采用全科医生服务模式，分析在全科医生服务模式下，合并三高情况的2型糖尿病患者的各项指标变化及用药依从性、医嘱认可度等方面的比较。结果 观察组血糖 、三高(高血压、高血脂、高尿酸)控制情况分别为 FPG(7.28±1.48)mmol/L、2 hPBG(8.83±2.21)mmol/L、HbA1c(6.38±1.27)%;SBP(115.86±20.15)mmHg、TG(2.30±0.28)mmol/L、TC(5.10±0.5)mmol/L各项指标均优于对照组，两组比较差异有统计学意义(P<0.05)。且用药依从性及遵医嘱行为方面均优于对照组，两组比较差异有统计学意义(P<0.05)。结论 相比传统服务模式，全科医生服务模式更能有效的改善患者的血糖、三高情况以及患者的遵医行为，效果明显，值得临床推广。
[关键词] 服务模式;2型糖尿病;三高;控制
[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062(2020)09(a)-0193-03
[Abstract] Objective To analyze and discuss the control of the three high levels (hypertension， hyperlipidemia， and hyperuric acid) in patients with type 2 diabetes under the general practitioner service model. Methods A total of 168 diabetic patients with three highs who were treated in the outpatient clinic of the center from March 2018 to March 2019 were selected as the research objects. Based on whether they received general practitioner service mode， they were divided into control group and observation group， each group 84 cases. The control group adopted the traditional service model (biomedical model)， and the observation group adopted the general practitioner service model. To analyze the changes of various indicators， medication compliance and medical order recognition of type 2 diabetes patients with three high conditions under the general practitioner service mode. Results The control status of blood glucose and three highs (hypertension， hyperlipidemia， hyperuric acid) in the observation group were FPG (7.28±1.48)mmol/L， 2 hPBG (8.83±2.21)mmol/L， HbA1c (6.38±1.27)%; SBP indexes of (115.86±20.15) mmHg， TG (2.30±0.28)mmol/L， and TC (5.1±0.5)mmol/L were better than those of the control group， and the difference between the two groups was statistically significant(P<0.05). And medication compliance and compliance behavior were better than the control group， the difference between the two groups was statistically significant (P<0.05). Conclusion Compared with the traditional service model， the general practitioner service model can effectively improve the patient's blood glucose， three highs， and patients' compliance behavior. The effect is obvious and it is worthy of clinical promotion.
[Key words] Service mode; Type 2 diabetes; Three highs; Control
2型糖尿病可導致严重的并发症，且波及全身各个系统组织，是一种严重的、复杂的、终身性疾病，目前，世界糖尿病患者已超过3亿，由于糖尿病患者的发病年龄有年轻化的趋势，预计在2035年世界糖尿病患者将达到5.97亿，由糖尿病导致的死亡是世界导致死亡的八大原因之一。而糖尿病不仅影响了人们的身心健康和生活质量，还导致了严重的经济负担。既往多采用传统服务模式，即生物医学模式为患者提供健康教育及诊疗计划，但该种模式往往在健康体检时才被发现糖耐量异常或糖尿病并发症，不能及时发现病情。目前，实行全科医生服务模式是我国医疗卫生服务的发展方向。因此，该研究选取2018年3月—2019年3月于该中心门诊就诊的168例合并三高的糖尿病患者为研究对象，现报道如下。, http://www.100md.com(靳晓宇)
[关键词] 服务模式;2型糖尿病;三高;控制
[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062(2020)09(a)-0193-03
[Abstract] Objective To analyze and discuss the control of the three high levels (hypertension， hyperlipidemia， and hyperuric acid) in patients with type 2 diabetes under the general practitioner service model. Methods A total of 168 diabetic patients with three highs who were treated in the outpatient clinic of the center from March 2018 to March 2019 were selected as the research objects. Based on whether they received general practitioner service mode， they were divided into control group and observation group， each group 84 cases. The control group adopted the traditional service model (biomedical model)， and the observation group adopted the general practitioner service model. To analyze the changes of various indicators， medication compliance and medical order recognition of type 2 diabetes patients with three high conditions under the general practitioner service mode. Results The control status of blood glucose and three highs (hypertension， hyperlipidemia， hyperuric acid) in the observation group were FPG (7.28±1.48)mmol/L， 2 hPBG (8.83±2.21)mmol/L， HbA1c (6.38±1.27)%; SBP indexes of (115.86±20.15) mmHg， TG (2.30±0.28)mmol/L， and TC (5.1±0.5)mmol/L were better than those of the control group， and the difference between the two groups was statistically significant(P<0.05). And medication compliance and compliance behavior were better than the control group， the difference between the two groups was statistically significant (P<0.05). Conclusion Compared with the traditional service model， the general practitioner service model can effectively improve the patient's blood glucose， three highs， and patients' compliance behavior. The effect is obvious and it is worthy of clinical promotion.
[Key words] Service mode; Type 2 diabetes; Three highs; Control
2型糖尿病可導致严重的并发症，且波及全身各个系统组织，是一种严重的、复杂的、终身性疾病，目前，世界糖尿病患者已超过3亿，由于糖尿病患者的发病年龄有年轻化的趋势，预计在2035年世界糖尿病患者将达到5.97亿，由糖尿病导致的死亡是世界导致死亡的八大原因之一。而糖尿病不仅影响了人们的身心健康和生活质量，还导致了严重的经济负担。既往多采用传统服务模式，即生物医学模式为患者提供健康教育及诊疗计划，但该种模式往往在健康体检时才被发现糖耐量异常或糖尿病并发症，不能及时发现病情。目前，实行全科医生服务模式是我国医疗卫生服务的发展方向。因此，该研究选取2018年3月—2019年3月于该中心门诊就诊的168例合并三高的糖尿病患者为研究对象，现报道如下。, http://www.100md.com(靳晓宇)