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目的:探究社区慢病管理联合家庭保健员在糖尿病防控中的作用。方法:将社区2015年3月2016年9月间50例其家属参与社区保健员培训的糖尿病患者作为实验组,实施慢病管理联合保健员参与的综合管理方法,将48例家属未参与保健员培训的糖尿病患者作为对照组,仅实施常规社区慢病管理。结果:实验组患者糖尿病防治知识认知优良率为96.0%,对照组为83.3%,实验组优良率高于对照组,差异存在统计学意义(P<0.05);实验组各个自我健康行为管理情况也较对照组显著,差异存在统计学意义(P<0.05);两组血糖与血脂指标比较无明显差异(P>0.05)。结论:实施社区慢病管理联合家庭保健员的管理模式,提高了糖尿病患者治疗依从性,增强了自我管理能力,值得采用。
Objective: To explore the role of community chronic disease management combined with family health workers in the prevention and control of diabetes. Methods: From March 2015 to September 2016, 50 community-based diabetics whose families participated in the training of community health workers were selected as the experimental group to implement the integrated management method of chronic disease management and joint health care workers. 48 family members who did not participate in the health workers Diabetic patients trained as a control group, only the implementation of routine community chronic disease management. Results: The excellent and good rate of diabetes prevention and control knowledge in experimental group was 96.0% and that in control group was 83.3%, the excellent and good rate in experimental group was higher than that in control group (P <0.05). The self-health behavior management (P <0.05). There was no significant difference between the two groups in blood glucose and blood lipid (P> 0.05). Conclusion: The implementation of community chronic disease management combined with family health workers management mode, improve the treatment compliance of patients with diabetes and enhance self-management capabilities, it is worth using.