| Objective: Evaluate the effect of basic public health service through the analysis and utilization of the diabetes management data of the service,discuss the factors affecting the management,explore the method of large data analysis and utilization suitable for the basic public health service,designe the management effect evaluation module of Chronic disease group.There are few related studies in this area,I hope to promote relevant research through this research,and provide the basis for improving the basic public health service policy and improving the level of the prevention and control of the grass-roots chornic disease.Methods: Selecte the community with the highest authenticity of the basic public health service in Yixing,choose diabetic patients with certain years of management,design a questionnaire containing the cognitive,lifestyle,behavior and characteristics data to collect relevant information and to compare the level of blood glucose control between different groups and different years of management.Discuss the factors that affect the level of glycemic control at the community,and explore the feasibility of the effectiveness evaluation based on the community health information system and design the related modules.Results:The implementation of diabetes health management of basic public health services in this area has obvious effect on health education of patients,and patients' awareness of the disease has been greatly improved from less than 30% to more than 50%.The drug treatment rate of patients has increased from 48.0% to 82.6% after management,and the drug taking rate after management is much higher than the average level in Jiangsu Province.Before management,48.2% of the respondents adopted "salt restriction" intervention measures,36.9% took "regular exercise" intervention measures,and 73.2% took intervention measures to reduce dietary fat;aftermanagement,the proportion of the three intervention measures was more than 90%;before and after management,the risk factors were under control.The results were as follows: the proportion of obese patients in diabetic patients decreased from 23.0% before management to 15.5%;after management,the proportion of people with high blood pressure and those without exercise decreased from 49.0% to 28.2%,67.4% to 44.3%,respectively.There were not many people who quit smoking and drinking,but the amount of smoking and drinking decreased by t test.The average amount of tobacco and alcohol consumption decreased by 3.85 and 0.98,suggesting the importance of lifestyle intervention training,especially the skills of smoking cessation and alcohol cessation.Compared with before and after management,blood sugar decreased by 2.14 mmol/L on average.The factors affecting the stability of blood sugar control were body mass index,blood pressure level,exercise status and management time.Conclusion: Implementing diabetes health management in basic public health services has obvious effect on health education of patients,the drug treatment rate has been significantly increased,the proportion of non-drug intervention measures has been significantly increased,the three important risk factors of body mass index,high blood pressure and no exercise have been significantly improved before and after management,and blood sugar control has been improved.The effect is obvious.The improvement of smoking control and alcohol restriction is not obvious at the grass-roots level,and has little effect on blood sugar control of community population.Setting up the effect evaluation module in the community health information management system need to increase the cognitive and treatment cost data on the existing lifestyle,risk factors and treatment conditions.It is operable to use the big data of diabetes management to evaluate the effect of population management. |
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