中国全科医学Issue(31)：3792-3797,6.DOI:10.3969/j.issn.1007-9572.2015.31.006
群组看病模式对社区2型糖尿病患者的干预效果研究
Intervention Effect of Diabetes Group Visits on Patients With Type 2 Diabetes Mellitus in Communities
摘要
Abstract
Objective To investigate the intervention effect of group visits on patients with type 2 diabetes mellitus in communities. Methods Using the design of controlled clinical trials, we enrolled 214 patients with type 2 diabetes mellitus who were administrated in Dachang Community Health Service Center in Baoshan District of Shanghai in June 2014. According to the will of group visits, the patients were divided into two groups:intervention group (n=110) and control group (n=104) . The intervention group was administrated with service by group visits to the service team comprising general practitioners and nurses;the control group was administrated with conventional three-level management mode. The two groups both received three times of questionnaire survey and the measurement of HbA1c level at baseline, 6 months and 12 months after intervention. Evaluation indexes included social support, the communication between doctors and patients, self-efficacy, self-management behaviors and HbA1c level. Linear latent growth model ( LLGM) was used to evaluate the effect of diabetes group visits. Results For control group, compared with baseline, the average increase rates of social support, the communication between doctors and patients, self-efficacy, self-management behaviors were 0. 24 (P<0. 001), 0. 18 (P=0. 008), 0. 31 (P<0. 001) and 0. 37 (P <0.001) 12 months after intervention; for intervention group, the increase rates were 0.14 (P <0.001), 0.29 (P <0. 001), 0. 16 (P=0. 009) and 0. 16 (P=0. 009) higher than control group. During follow -up, compared with baseline, the HbA1c level of control group decreased averagely by 0. 29 (P<0. 001), and the intervention group was 0. 24 (P=0. 009) higher than the average decrease value of control group. Conclusion Diabetes group visits can not only improve social support, physician-patient communication and self-efficacy, but also improve self-management behaviors and decrease HbA1c level.关键词
糖尿病,2型/社区卫生服务/群组看病/线性潜发展模型Key words
Diabetes mellitus, type 2/Community health services/Group visits/Linear latent growth model分类
医药卫生引用本文复制引用
王敬丽,傅华,周晨,朱耀城,丁永明,高俊岭..群组看病模式对社区2型糖尿病患者的干预效果研究[J].中国全科医学,2015,(31):3792-3797,6.基金项目
上海卫生系统先进适宜技术推广项目(2013SY006) （2013SY006）
