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目的探讨家庭医生服务模式对于高血压、糖尿病患者病情的改善效果。方法随机选取深圳市龙岗区龙岗人民医院紫薇社康中心收治的高血压、糖尿病患者180例,采用双盲法随机分组,分为观察组和对照组每组各90例,对照组采用常规社区护理服务模式,观察组在对照组的基础上采用家庭医生服务模式,观察两组患者的生化指标变化情况与病情控制效果。结果观察组生化指标改善效果优于对照组,差异有统计学意义(P<0.05);观察组糖尿病、高血压控制率分别为90.00%、94.44%,显著高于对照组的81.11%、83.33%,差异有统计学意义(P<0.05)。结论家庭医生服务模式的实施有利于改善社区糖尿病、高血压患者的病情,通过家庭医生能够为患者提供更加优质的医疗护理服务,值得临床推广应用。
Objective To explore the effect of family doctor service on the improvement of hypertension and diabetes mellitus. Methods 180 cases of hypertension and diabetes were randomly selected from Longwei People ’s Hospital of Longgang District, Shenzhen. The patients were randomly divided into observation group and control group with 90 cases in each group. The control group received routine community nursing Service mode. The observation group used the family doctor service mode on the basis of the control group, and observed the changes of biochemical indexes and disease control effect in the two groups. Results The biochemical indexes in the observation group were better than those in the control group (P <0.05). The control rates of diabetes and hypertension in the observation group were 90.00% and 94.44%, which were significantly higher than those of the control group (81.11% and 83.33% respectively) , The difference was statistically significant (P <0.05). Conclusion The implementation of the family doctor service mode is conducive to the improvement of community diabetes and hypertension patients’ condition. The family doctor can provide more high-quality medical care services to patients and is worthy of clinical application.