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目的应用质量控制(QC)小组的管理理念,全面综合管理2型糖尿病(T2DM)患者。方法108例T2DM患者随机分为治疗组58例,对照组50例。将医师、护士、患者组成QC小组,并根据QC小组章程,针对患者血糖、血脂、血压、糖化血红蛋白不达标的原因,制订活动计划,在药物治疗基础上,治疗组进行强化糖尿病教育,对照组给予一般糖尿病教育。结果治疗后治疗组血糖、血脂、体重指数及糖化血红蛋白等指标水平较对照组均明显降低(P<0.01或P<0.05),且各指标的达标率较对照组均明显提高(P均<0.05),血压达标率也高于对照组(P<0.05)。结论采用QC小组的管理理念,对T2DM患者进行有效的全方位管理及有效监督、指导,对提高其血糖、血脂、血压以及糖化血红蛋白的达标率具有重要意义,为社区糖尿病防治提供了经验。
Objective To comprehensively and comprehensively manage patients with type 2 diabetes (T2DM) using the management concept of the Quality Control (QC) team. Methods A total of 108 patients with T2DM were randomly divided into treatment group (58 cases) and control group (50 cases). The physicians, nurses and patients were grouped into QC group. According to the charter of QC group, an activity plan was formulated according to the reasons of non-compliance of patients’ blood glucose, blood lipids, blood pressure and glycosylated hemoglobin. On the basis of drug therapy, the treatment group was given intensive diabetes education. Give general diabetes education. Results After treatment, the levels of blood glucose, blood lipids, body mass index and glycosylated hemoglobin in the treatment group were significantly lower than those in the control group (P <0.01 or P <0.05), and the compliance rate of each index was significantly higher than that of the control group ), Blood pressure compliance rate is also higher than the control group (P <0.05). Conclusion Using the management concept of QC group, it is of great significance to effectively and comprehensively supervise and guide T2DM patients in improving their blood glucose, blood lipids, blood pressure and HbA1c compliance rate and provide experience for the prevention and treatment of community diabetes.