摘要
Abstract
Objective:To discuss the effect of the diabetic patients' Hospital-Community-Patients integration management. Method:40 patients with diabetic accept the Hospital-Community-Patients integration management as the management group, over the same period,20 patients with diabetic did not accept the Hospital-Community-Patients integration management as the control group.Compare the two groups.The management group used blood glucose meter to check fasting、before meals、after meals 2 h peripheral blood glucose levels every week,to check fasting blood glucose and 2 h postprandial blood glucose levels every month,to check glycosylated hemoglobin(HbA1c)every three months,the complications were checked once every six months. Community specialists weekly follow-up the patients by telephone,and told them dietary guidance,exercise and medication guidance.The control group without any guidance,follow up and check.Results:After management,the management group in quality of life scores,standard rate,glucose screening for diabetic complication rate,the awareness rate of diabetes mellitus、rational drug use,reasonable exercise,diet,regular self detection of HbA1c,regular self monitoring of blood glucose were significantly better than those of the control group,and the differences of two groups were statistically significant(P<0.05).The management group after administration for 1 year,fasting blood glucose,2 h postprandial blood glucose and HbA1c were significantly decreased,and there was statistical significance compared with the control group(P<0.05).Conclusion:Hospital-Community-Patients integration management can effectively control blood glucose in diabetic patients.It is worthy of social promotion.关键词
医院-社区-患者/一体化管理/糖尿病Key words
Hospital-Community-patients/Integrated management/Diabetes
