Effect of medical alliance co-management hierarchical diagnosis and treatment model in hospital-community comprehensive management of diabetic foot patients
10.3760/cma.j.cn115682-20210926-04387
- VernacularTitle:医联体共管分级诊疗模式在糖尿病足患者医院-社区综合管理中的应用
- Author:
Juanjuan BAI
1
;
Ruiqing DI
;
Juhong CHEN
Author Information
1. 郑州大学第一附属医院整形外科，郑州 450052
- Keywords:
Diabetic foot;
Medical alliance co-management;
Hierarchical diagnosis and treatment;
Hospital-community management
- From:
Chinese Journal of Modern Nursing
2022;28(9):1138-1142
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the medical alliance co-management hierarchical diagnosis and treatment model in the hospital-community comprehensive management of diabetic foot patients.Methods:From June to December 2020, convenience sampling was used to select 134 diabetic foot patients in the Endocrinology Department of the First Affiliated Hospital of Zhengzhou University as the research subject. According to the random number table method, the patients were divided into the control group and the observation group, 67 cases in each. The control group conducted routine management, while the observation group carried out hospital-community comprehensive management based on the medical alliance co-management hierarchical diagnosis and treatment model. Patients were surveyed using the Diabetic Foot Self-Care Questionnaire of the University of Malaga (DFSQ-UMA) . The Wagner grade and progression of diabetic foot, the risk factors of diabetic foot and the foot self-care were compared between the two groups.Results:After intervention, there were more patients with Wagner grade 0, 1 and 2 in the observation group than the control group, and fewer patients with Wagner grade 3, 4 and 5 than the control group. The number of diabetic foot progression cases in the observation group and the control group were 6 cases (8.96%) and 19 cases (28.36%) , respectively, and the difference was statistically significant (χ 2=8.310, P=0.004) . After intervention, the score of the Scale of High Risk Factors of Diabetic Foot of the observation group was lower than that of the control group, and was lower than the score before intervention, and the differences were statistically significant ( P<0.05) . After intervention, the DFSQ-UMA dimension scores in the observation group were higher than those in the control group, and were higher than those before intervention, and the differences were statistically significant ( P<0.05) . Conclusions:The hospital-community comprehensive management based on the medical alliance co-management hierarchical diagnosis and treatment model can effectively delay the progression of patients with diabetic foot, reduce the risk factors of diabetic foot, and improve the patients' foot self-care.
