Analysis of Influencing Factors of Integrated Health Management on the Health of Diabet-ic Patients
Objective:To explore the factors affecting the health of patients with chronic diseases by the integrated health manage-ment service model of compact medical community.Methods:Samples were screened based on the national health examination data and medical service record database of a certain county.A total of 2,023 people with diabetes mellitus were investigated by cluster sampling,which were divided into 955 people in the intervention group and 1,068 people in the control group.The basic information and related questionnaires were carried out.Results:In terms of self-management behavior,the overall score of the intervention group was(40.22±8.52)and that of the control group was(35.76±6.49).The overall self-management level of the intervention group was bet-ter,with statistical significance(P＜0.05).There was significant statistical significance in the four dimensions of healthy diet,exercise management,blood glucose monitoring and foot care between the two groups of diabetes patients(P＜0.05).Among the two groups of patients in terms of quality of life,,the quality of life score in the intervention group(46.81±8.69)was significantly lower than that in the control group(49.60±7.57).In diabetic patients,the scores of physiological function,psychological spirit,social relationship and treatment experience in the intervention group were significantly lower than those in the control group,and there was statistical signifi-cance(P＜0.05).According to the regression model,the self-management behavior of diabetic patients was significantly affected by di-abetes health knowledge,diabetes-related emotional state,self-efficacy,social support,gender,personal annual income,emotional ill-ness,and self-rated health.Meanwhile,the quality of life of diabetic patients was significantly affected by diabetes-related emotional state,self-efficacy,social support,age,gender,personal annual income and self-care ability.Conclusion:Under the background of compact medical community,integrated health management can effectively help patients with chronic diseases improve their self-man-agement health level,and can significantly improve the quality of life of patients with chronic diseases,and help patients to comprehen-sively improve their self-health level.
Compact Medical CommunityChronic DiseasesHealth ManagementInfluencing Factor
万方数据
维普
