摘要
目的:探讨基于线上到线下(OTO)模式的社区健康管理在 2 型糖尿病患者中的应用效果.方法:选取 2021 年 3 月至2023年4月靳岗街道社区卫生服务中心收治的120例2型糖尿病患者进行前瞻性研究,根据随机数字表法将其分为对照组和观察组各60例.对照组采取常规社区健康管理,观察组采取基于OTO模式的社区健康管理.比较两组干预前后血糖指标[空腹血糖(FBG)、餐后 2 h血糖(2hPG)、糖化血红蛋白(HbA1c)]水平、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分及糖尿病患者自我管理行为量表(SDSCA)评分.结果:干预 3 个月后,观察组FBG、2hPG、HbA1c水平及SDS、SAS评分均低于对照组,饮食、运动、血糖监测、足部管理、服药等维度SDSCA评分均高于对照组,差异有统计学意义(P<0.05).结论:基于OTO模式的社区健康管理用于 2 型糖尿病患者中有利于降低患者血糖水平,提高其自我管理能力,减轻其焦虑、抑郁情绪,效果优于常规社区健康管理.
Abstract
Objective:To explore application effects of online-to-offiine(OTO)model-based community health management on in patients with type 2 diabetes mellitus.Methods:A prospective study was conducted on 120 patients with type 2 diabetes mellitus admitted to Jingang street community health service center from March 2021 to April 2023.They were divided into control group and observation group according to the random number table method,60 cases in each group.The control group adopted routine community health management,while the observation group adopted the OTO model-based community health management.The levels of blood glucose indexes[fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)],the adverse psychology[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]scores,and the summary of diabetes self-care activities(SDSCA)score were compared between the two groups before and after the intervention.Results:After 3 months intervention,the levels of FBG,2hPG,HbA1c,the scores of SDS and SAS in the observation group were lower than those in the control group,the SDSCA scores in the dimensions of diet,exercise,blood glucose monitoring,foot management and medication were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The OTO model-based community health management for the patients with type 2 diabetes is beneficial to reduce the levels of blood glucose indexes,improve their self-management abilities,and reduce their anxiety and depression emotions.Moreover,it is superior to the routine community health management.
维普
万方数据