| 王雯雯,徐仲卿,肖峰,张敏,王蔚,章洁.家庭医生干预社区糖尿病足危险人群的效果[J].中国临床保健杂志,2020,23(4):463-465. |
| 家庭医生干预社区糖尿病足危险人群的效果 |
| Intervention effect of family doctors for patients with diabetic foot risk in community |
| 投稿时间：2019-06-21 |
| DOI：10.3969/J.issn.1672-6790.2020.04.007 |
| 中文关键词: 糖尿病足 诊疗模式,医师 家庭医疗保健服务 早期医疗干预 |
| 英文关键词: Diabetic foot Practice patterns,physicians′ Home care services Early medical intervention |
| 基金项目:上海市长宁区区科委课题(CNKW2016Y24) |
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| 中文摘要: |
| 目的 探究社区糖尿病足危险患者家庭医生干预的相关策略和价值。方法 以社区糖尿病足危险患者为研究对象,即605例2型糖尿病患者,时间为2017年7月到2018年7月,以分段随机化法分组,其中对照组实施常规健康教育,试验组则由家庭医生实施分阶段性健康教育,分析两组社区糖尿病足危险患者干预的结果。结果 试验组社区糖尿病足危险患者的糖尿病足相关知识了解度明显高于对照组,差异有统计学意义(P<0.05)；试验组饮食控制、运动合理、血糖自我监测良好率均明显高于对照组,其糖尿病足发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 家庭医生为社区糖尿病足危险患者实施有效的干预,可提高其自我管理的能力,更好对糖尿病足的发生进行预防。 |
| 英文摘要: |
| Objective To explore relevant strategies and values of family physician intervention for patients with diabetic foot risk in the community.Method Patients with risk diabetic foot in community were selected as the research objects,namely in patients with type 2 diabetes,the number of cases of 605 cases,the time for the July 2017 to July 2018,by the method of segmentation randomized group,which controls the implementation of routine health education,the experimental group has points by the family doctor timely health education,analysis of two groups of community intervention in patients with diabetic foot risk.Results The knowledge of diabetic foot in the experimental group was significantly higher than that in the control group (P<0.05).The rate of diet control,reasonable exercise and good self-monitoring of blood glucose in the experimental group was significantly higher than that in the control group,and the incidence of diabetic foot was significantly lower than that in the control group (P<0.05).Conclusion Effective intervention by family doctors for patients with diabetic foot risk in the community can improve their self-management ability and prevent the occurrence of diabetic foot |
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