| 钱丽花,程洁,江长缨,张怡.基于Framingham评分的分层随访在中年2型糖尿病患者中的应用探讨[J].上海护理,2025,25(4): |
| 基于Framingham评分的分层随访在中年2型糖尿病患者中的应用探讨 |
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| 投稿时间：2024-07-01 修订日期：2025-04-08 |
| DOI： |
| 中文关键词: Framingham评分 分层随访 2型糖尿病 自我管理 |
| 英文关键词: |
| 基金项目:浦东新区科技发展基金 |
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| 中文摘要: |
| 目的:探究基于Framingham评分的分层随访对中年2型糖尿病患者血糖控制情况、自我管理水平以及冠心病风险率的影响。方法:选取2022年10月至2023年3月期间至南码头社区卫生服务中心门诊就诊的中年2型糖尿病患者为研究对象，采用随机表法分为对照组71例，实施常规的随访；干预组71例，应用基于Framingham评分的分层随访方案进行随访。在干预前后，分别比较两组患者的分层情况及冠心病风险率、血糖控制情况和自我管理水平。结果:干预前两组的基线资料比较差异无统计学意义，具有可比性（P>0.05）；干预一年后，两组患者的分层情况及冠心病风险率存在统计学意义（P<0.05），并且干预3个月、6个月、9个月和12个月后的血糖控制情况和自我管理水平差异均有统计学意义（均P<0.05）。结论:基于Framingham评分的分层随访可以改善中年2型糖尿病患者的糖代谢指标，提高患者的自我管理水平，降低冠心病风险率，是一值得临床推广的糖尿病随访方法。 |
| 英文摘要: |
| Objective: To explore the effects of stratified follow-up based on Framingham score on glycemic control, self-management and coronary heart disease risk in middle-aged patients with type 2 diabetes. Methods: Middle-aged patients with type 2 diabetes who visited the outpatient department of Nanmatou Community Health Service Center from October 2022 to March 2023 were selected as the study objects. They were divided into control group and intervention groupaveragelyby random table method. Patients in control group were followed uproutinely, but patients in intervention group were stratified followed upbased on Framingham scores. Before and after the intervention, the stratification, coronary heart disease risk, blood glucose control and self-management level of the two groups were compared. Results: There was no significant difference in baseline data between the two groups before intervention (P>0.05). After one year of intervention, there were statistically significant differences in stratification and risk rate of coronary heart disease between the two groups (P<0.05), and there were statistically significant differences in blood glucose control and self-management level after 3, 6, 9 and 12 months of intervention (all P<0.05). Conclusion: Stratified follow-up based on Framingham score can improve the glucose metabolism index of middle-aged patients with type 2 diabetes, improve the self-management level of patients, and reduce the risk rate of coronary heart disease. It is a diabetes follow-up method worthy of clinical promotion. |
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