黄奕云 1谢满容 1汪一琴 1邢双喜 1黄海清 1黄沅珂1
作者信息
- 1. 广州市白云区黄石街社区卫生服务中心，广东广州 510425
- 折叠
摘要
Abstract
Objective To study the influence of implementation of apanage management of community health service on compliance of patients with diabetes.Methods 4 communities in our city during 2009.1 and 2012.12 were randomly selected by random cluster sampling method. Community residents were applied with apanage management of community health service. Status of community residents and patients with diabetes was followed up before apanage management and after apanage management.Results Prevalence rate of diabetes of community residents was similar before and after apanage management(12.35% vs 11.29%,P>0.05). After apanage management aware of knowledge about hypertension, diabetes of community residents, were significantly higher than before, and there were significant difference(P<0.001). Proportion of health behavior such as regular blood pressure measurement, measuring blood sugar, low sugar diet and regular exercise on a regular basis after apanage management in community residents was obviously higher than that of before apanage management, with significant difference(P<0.001). And the proportion of bad behavior such as smoking, alcohol consumption and a high-fat diet, were significantly lower than before, with significant difference(P<0.001). After apanage management, compliance, rational use of drugs and disease control rates of patients were significantly better than that of before apanage management, with significant difference(allP<0.001). Diabetes complications, disability and mortality after apanage management in patients were significantly lower than before apanage management, and there were significant difference(allP<0.001).Conclusion Chronic diseases' prevention and control depends on the working together of government, society, residents and families, and implementation of apanage management of community health service is an effective way of prevention and control of chronic diseases.关键词
社区居民/糖尿病/社区卫生服务/属地管理Key words
Community residents/Diabetes/Community health service/Apanage management分类
医药卫生
