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Application research of chronic disease health management in an urban community based on the PRECEDE-PROCEED model in the long-term management of diabetes mellitus

机译:基于糖尿病长期管理的基于前进模式的城市社区慢性病健康管理的应用研究

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Objective: To evaluate the application of chronic disease health management in an urban community in the long-term management of diabetes mellitus (DM) based on the PRECEDE-PROCEED model. Methods: The PRECEDE-PROCEED model combines PRECEDE (predisposing, enabling and reinforcing constructs in educational diagnosis and evaluation) with PROCEED (policy, management and organization constructs in educational and environmental intervention). A total of 96 diabetic patients treated in our hospital were selected and divided into two groups by random number table, with 48 cases in each group. The routine group was given routine health management, while the PP group was given the urban community chronic disease health management based on the PRECEDE-PROCEED model in addition to the routine health management. After six months of management, the patients’ effect was evaluated by comparing the blood glucose, diabetes knowledge, self-efficacy, self-management level and quality of life between the two groups. Results: The FPG, 2hPG and HbAlc levels of the PP group were lower than those of the routine group after six months of management (all P0.05). The 6-month awareness rate, self-efficacy, self-management level and quality of life scores of the PP group were higher than those of the routine group (all P0.05). Conclusion: The chronic disease health management in urban communities based on the PRECEDE-PROCEED model in long-term diabetes management can effectively improve patients’ diabetes knowledge, lower blood glucose levels, improve self-efficacy and self-management, and improve the quality of life.
机译:目的:基于前进模式,评估糖尿病(DM)长期管理中城市社区慢性病健康管理的应用。方法:继续前进模型(教育和环境干预中的政策,管理和组织构建)结合了(教育诊断和评估中的易感,支持和加强构建体)。选择在我们院内治疗的96名糖尿病患者,随机数目表分为两组,每组48例。常规组被赋予常规健康管理,而PP小组除了常规健康管理外,还给出了基于前进模式的城市社区慢性病健康管理。经过六个月的管理后,通过比较两组之间的血糖,糖尿病知识,自我效能,自我管理水平和生活质量来评估患者的疗效。结果:PP组的FPG,2HPG和HBALC水平低于六个月管理后的常规组(所有P <0.05)。 PP组6个月的认识率,自我效能,自我管理水平和生活评分的质量高于常规组(所有P <0.05)。结论:基于前期糖尿病管理前进模式的城市社区慢性病健康管理可以有效改善患者的糖尿病知识,降低血糖水平,提高自我效能和自我管理,提高质量生活。

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