Effect of intervention programs regarding community "5+1" staged diabetes target management on patients with type 2 diabetes mellitus
Zhang, S.; Dong, W.L.; Mao, F.; Jiang, Y.Y.; Wu, L.; Lou, Q.L.; Wu, H.D.; Zhang, Y.Q.; Ma, S.N.; Ren, Z.P.; Dong, J.Q.
Zhonghua Liu Xing Bing Xue Za Zhi 40(2): 170-174
2019
ISSN/ISBN: 0254-6450 PMID: 30744267 Document Number: 698056
目的： 分析社区"5+1"糖尿病分阶段达标管理对2型糖尿病患者生存质量的干预效果及其影响因素，为提高患者生存质量提供依据。 方法： 采用分层整群抽样的方法在山西省、江苏省和宁夏回族自治区选择12个社区卫生服务中心，分别作为干预组（管理方式：社区"5+1"糖尿病分阶段达标管理）、对照组[管理方式：依据《国家基本公共卫生服务规范（2011年版）》的相关要求]，进行为期2年的随访观察。采用面对面问卷调查的方式，收集患者的人口学信息等基本信息；采用健康调查简表（SF-36）对患者在干预前后测量生存质量。采用SAS 9.4软件进行双重差分法以及多重线性回归模型分析。 结果： 基线时共纳入2 467名研究对象，终末时共1 924人接受了为期2年完整的随访管理。干预后，干预组、对照组患者生理健康维度（PCS）、心理健康维度（MCS）评分变化净差值分别为13.6分、29.8分。多重线性回归分析结果显示，影响患者PCS得分的主要因素有年龄、医保类型、基线PCS得分以及所在地区，影响患者MCS得分的主要因素有年龄、医保类型、基线MCS得分、是否合并高血压以及所在地区。 结论： 社区"5+1"糖尿病分阶段达标管理对2型糖尿病患者生存质量的干预效果较好。.
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