全科理念下的连续动态随访对老年糖尿病患者血糖及自我管理行为的影响

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[中图分类号]R473.5 [文献标识码]A [文章编号]1672-4062（2026）01（b）-0171-05

Effect of Continuous Dynamic Follow-up under the Concept of General Practice on Blood Glucose and Self-management Behavior in Elderly Patients with Diabetes Mellitus

CHEN Lihui’，CHENLiyu²，LANMiaoqiong

1.DepartmentofGeneralMedicin，ZhangzhouAfiliatedHospitalofFujianMedicalUniversity，Zhangzhou Fujian，China;2.Departmentof Hepatoenterology，Zhangzhou Afiliated HospitalofFujian Medical University，Zhangzhou ，Fujian， China

[Abstract] Objective To explorethe application effctof continuous dynamic folow-upunder theconceptof general practicein elderly patients withdiabetes melitus.MethodsAtotalof8O elderly patients with diabetes melltus admittedto ZhangzhouAfiliatedHospitalofFujianMedicalUniversityfromApril2O23 toApril2O24wereconvenientlyselected and divided intotwo groups according todiferent nursing methods，with 4O cases ineach group.Thecontrol group was given routine nursing intervention，and the observation group was given continuous dynamic folow-up interventionunder theconcept of general practice on the basis of routine nursing.The blood glucose level，selfmanagement behavior，qualityof lifeand nursing satisfaction were compared between the two groups.ResultsAfter nursing，compared with thecontrol group，the levels of fasting plasma glucose，2-hour postprandial plasma glucose and glycatedhemoglobinAlcintheobservationgroupwerelower，andthediferenceswerestatisticallysignificant （all P <0.05）.After nursing，compared with thecontrol group，the Summary of Diabetes Self-Care Activities score and nursing satisfactionof the observation group were higher，and the Adjusted Diabetes-specific Qualityof Life were lower， the differences were statistically significant （all P<0.05 ）.Conclusion For elderly patients with diabetes melitus，continuousdynamic follow-upunder theconceptof generalpractice canreduce their blood glucose level，improvetheir self-management ability，and improve their quality of life and nursing satisfaction.

[Keywords]Elderlydiabetes melitus; Concept of general; Continuous dynamic follow-up; Blood glucoselevels; Selfmanagementbehavior

老年糖尿病作为一种常见的慢性病，其病因复杂，若不及时干预，容易引发心脑血管病变、糖尿病眼病及糖尿病足等，严重影响患者的生活质量和生命安全]。（剩余5572字）