主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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“医院-社区-家庭”授权教育对胰岛素泵治疗患者的应用研究

方英 戴莉敏 刘媛 侯宝霞   

  1. 江苏大学附属人民医院内分泌科
  • 出版日期:2015-05-25 发布日期:2015-05-25
  • 基金资助:
    镇江市科技计划项目(SH2011033);镇江市科技支撑计划(社会发展)指导性项目(FZ2013036);江苏大学医学临床科技发展基金项目(JLY20120001)

The application of authorization education mode of "hospital-community-family" linkage in the patients with insulin pump therapy

  • Online:2015-05-25 Published:2015-05-25

摘要: 目的:探讨“医院- 社区- 家庭”授权教育模式在胰岛素泵治疗患者中的应用效果。方法:选择2012 年2 月至2014 年3 月内分泌科住院使用胰岛素泵治疗的糖尿病患者60 例,实施“医院- 社区- 家庭”授权教育模式,随访3 个月、6个月后监测患者空腹血糖、餐后2h 血糖值,糖化血红蛋白(HbAlc) 水平及自我护理能力的变化。结果:实施授权教育后随访3 个月、6 个月时患者空腹血糖、餐后2h 血糖值,糖化血红蛋白(HbAlc) 水平及自我护理能力与入组前相比明显改善,差异均具有统计学意义(P <0.05)。结论:“医院- 社区- 家庭”授权教育模式整合了医院和社区的医疗卫生资源,充分发挥了家属参与的协同作用,能提高胰岛素泵治疗患者的自我护理能力,增强患者治疗依从性,改善糖尿病患者的临床代谢指标。

Abstract: Objective: To explore the effect of authorization education mode of "Hospital-community-family" linkage in patients with insulin pump therapy. Methods: Sixty patients with diabetes using the insulin pump therapy from 2012 February to 2014 March in Department of Endocrinology received the "hospital-community-family" trinity authorized education mode,and then the changes of fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin (HbAlc) level and selfcare ability were measured at 3 and 6 months after follow-up. Results: The implementation of authorized education after 3 and 6 months, the fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin (HbAlc) level and self-care ability were significantly improved compared with before, the differences were statistically significant (P<0.05). Conclusion: The authorized education mode of "hospital-community-family" linkage integrates the health resource of hospital and the community,and gives full play to synergy of family members. This mode can improve the self-care ability of patients with diabetes, increase adherence to treatment of patients, and improve the clinical metabolic parameters in patients with diabetes mellitus.