Study Of The Effect Of Family Doctor Contract Service Model On The Management Of Elderly Diabetes Patients At The Grass-roots Level

Objective:To explore the management effect of the family doctor contract service model on elderly diabetes patients at the grass-roots level,and provide more theory and practice for clinical improvement of basic nursing services for elderly diabetes patients.Methods:200 elderly diabetes patients who met the screening criteria in the diabetes health management file established by a township hospital in Nanchang City from January2021 to January 2022 were selected as the subjects of this study,and were randomly divided into the control group(100 cases,conventional continuous nursing services)and the intervention group(100 cases,family doctor contract service mode).The clinical baseline data of the two groups of patients were counted;Analysis of blood glucose biochemical indicators,DSQL score,Hb Alc,LDL-C compliance rate before and after management;Quality of life SF-36 scale score before and after management;Comparison of medication compliance before and after intervention;Statistics of complications and mortality during intervention.Results:There was no significant difference between the two groups in the sex ratio(male,female),average age,average course of disease,average BMI index,and diabetes type(type 1,type 2)of the above clinical baseline data(P>0.05);Before management,there was no significant difference in fasting blood glucose(FPG),2-hour blood glucose(2h FPG),and glycosylated hemoglobin(Hb Alc)levels between the two groups of patients(P>0.05);After management,the blood glucose indicators of both groups of patients were improved,and the levels of FPG,2h FPG,and Hb Alc were lower than before management(P<0.05);After management,the levels of FPG,2h FPG,and Hb Alc in the intervention group were lower than those in the control group(P<0.05).After management,the Hb Alc and LDL-C compliance rates of both groups of patients were improved(P<0.05);The Hb Alc and LDL-C compliance rates in the intervention group after management were higher than those in the control group(P<0.05);There was little difference in SF-36 score and DSQL score between the two groups of patients before intervention(P>0.05);After management,the SF-36 scores of the two groups of patients were improved,while the DSQL scores were reduced,with statistical significance(P<0.05);After management,the SF-36 score of the intervention group was higher than that of the control group,while the DSQL score was lower than that of the control group(P<0.05);There was little difference in Morisky scores of medication compliance between the two groups of patients before management(P>0.05),but after management,the Morisky scores of medication compliance increased in both groups of patients(P<0.05);After management,the Morisky score of medication compliance in the intervention group was higher than that in the control group(P<0.05);During the intervention period,the complications and mortality rate in the intervention group were lower than those in the control group(P<0.05);During the intervention period,the satisfaction of the control group was lower than that of the intervention group,with statistical significance(P<0.05).Conclusions:Compared with conventional care,the family doctor contract service model can significantly improve the blood glucose management effect and medication compliance of elderly diabetes patients at the grass-roots level,improve the quality of life and quality of life of patients,reduce the complications and mortality of patients,and improve the prognosis of patients,which is worth further clinical exploration.