Objective:To use the hospital-Community-Family Integrated cooperative management model for diabetics to manage and conduct Evaluation. Methods:76 cases of patients with diabetes management division, comparison between the experimental group and control group dif erences. Results:The experimental group before and after intervention in patients with fasting blood glucose decreased significantly (P<0.05), control group, fasting blood glucose, triglycerides, total cholesterol levels showed an upward trend, with a significant (P<0.05). Conclusion:ntegrated management model to promote the diabetes-related knowledge, at itudes, behaviors positive change, ef ective control of the diabetic patient's condition.%目的：利用医院-社区-家庭一体化合作管理模式对糖尿病患者进行管理，并进行效果评价。方法将76例糖尿病患者进行分组管理，比较实验组和对照组之间差异。结果实验组患者干预前后空腹血糖下降有显著性意义(P<0.05)，对照组的空腹血糖、甘油三脂、总胆固醇水平均呈上升趋势，具有显著性(P<0.05)。结论一体化管理模式促进了糖尿病患者相关知识、态度、行为的正向改变，有效控制了糖尿病患者的病情。
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