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目的:探讨农村糖尿病患者实施责任制管理的临床效果。方法:选取98例农村2型糖尿病患者,随机将其分为观察组和对照组,各49例,给予对照组患者常规的健康指导,并在此基础上给予观察组患者系统的责任制管理,对两组患者的生化指标、遵医行为进行对比。结果:观察组患者的空腹血糖、餐后2小时血糖及糖化血红蛋白均明显低于对照组,(P<0.05);观察组患者的遵医行为明显优于对照组,(P<0.05)。结论:给予农村糖尿病患者系统的责任制管理有助于提高患者的遵医行为,有助于帮助患者控制血糖,提高患者的生活质量,临床效果显著,值得推广和应用。
Objective: To explore the clinical effect of implementing responsibility management in rural patients with diabetes. Methods: Ninety-eight rural patients with type 2 diabetes mellitus were randomly divided into observation group and control group, with 49 cases in each group. The patients in control group were given routine health guidance. On the basis of this, the patients in observation group were given responsibility system management, The biochemical indexes of two groups of patients were compared according to their behavior. Results: The fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin in the observation group were significantly lower than those in the control group (P <0.05). The observing group had better compliance behavior than the control group (P <0.05). Conclusion: The management of responsibility system for patients with diabetes in rural areas can help to improve patients’ compliance behavior, help patients to control blood sugar and improve the quality of life of patients. The clinical effect is worthy of promotion and application.