ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-029 康复与疾病管理 2025, (06)

综合随访模式在社区老年糖尿病患者中的应用分析

宿迁市洋河新区社区卫生服务中心

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摘要

摘要:目的 探讨在社区老年糖尿病患者中综合随访模式的应用效果。方法 选取本社区老年糖尿病患者为研究对象,时间为 2022 年 2 月至 2023 年 12 月,共 112 例,随机分为对照组 56 例(常规随访模式)和观察组 56 例(综合随访模式),综合随访模式包括定期家庭访视、线上健康指导、社区集体健康教育及多学科协作管理。干预 6 个月后,比较随访前、后两组患者的血糖控制指标、生活质量及自我管理能力。结果 随访后,观察组患者的血糖控制水平均下降且改善优于对照组(P<0.05);观察组生活质量、自我管理能力各项指标明显改善且优于对照组(P<0.05)。结论 综合随访模式利于社区老年糖尿病患者控制血糖水平,提高生活质量及自我管理能力,建议在该类患者管理中推广,以提高患者的综合健康水平。

Abstract

Abstract: Objective To explore the application effect of the comprehensive follow-up mode in elderly diabetic patients in the community. Methods A total of 112 elderly diabetic patients in the community were selected as the research subjects from February 2022 to December 2023. They were randomly divided into a control group with 56 cases (routine follow-up) and an observation group with 56 cases (comprehensive follow-up mode). The comprehensive follow-up mode included regular home visits, online health guidance, community collective health education and multidisciplinary collaborative management. After 6 months of intervention, the blood glucose control indicators, quality of life and self management ability of the two groups were compared before and after follow-up. Results After follow-up, the blood glucose control level of patients in the observation group decreased, and the improvement was better than that in the control group (P<0.05), all items of quality of life and self-management ability in the observation group improved significantly, and the improvement was better than that in the control group (P<0.05). Conclusion The comprehensive follow-up mode is beneficial for elderly community-dwelling diabetic patients to control blood glucose, improve their quality of life and self-management ability. It is recommended to be promoted in the management of such patients to improve their comprehensive health level.

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[1]毕静.综合随访模式在社区老年糖尿病患者中的应用分析[J],2025,01(06):.