Investigation On The Current Situation Of Grass-roots Diabetes Management In Shunqing District Of Nanchong City

Objectives:The prevention and control of risk factors of chronic diseases in the community is the best way for the World Health Organization to recommend a comprehensive strategy for the prevention and control of chronic diseases.China also brings the prevention and management of diabetes into the content of basic public health services.In order to find out the current situation of diabetes management,the main difficulties and problems,as well as the weak links in prevention and treatmentin in grass-roots medical institutions.This study through investigation and research,in order to provide information reference for diabetes management in grass-roots medical institutions.Methods:(1)Field investigationThis is a cross-sectional study.Two centers,namely,Xicheng community health service centers and Yingxi township central health center are randomly selected through stratified sampling method,representing urban and rural primary unit,respectively.In the selected units,directors in charge of diabetes management and physicians and technical persons are surveyed by interviewed.In addition,diabetes patients in the two institutions are selected by reference to the diabetes registry through Systematic sampling method.Respondents are interviewd by self-adminitrated questionnaire.Data regarding demographic characteristics,training intensity,basic characteristics and compliance of diabetes patients in different primary health care institutions.(2)Statistical analysis method:The data were inputted by EpiData3.2 and analyzed by SPSS 17.0.The measurement data in accordance with the normal distribution are expressed by(x±s),the measurement data between the two groups are compared by t-test,.The counting data were expressed by frequency and rate,and the rate between the two groups was compared by chi-square test.The difference was statistically significant(P<0.05).Result:(1)The employees of the two grass-roots medical institutions generally have a low level of education,and they do not have a master's degree or above.The number of senior professional titles is small,with a total of 9 people in the two medical institutions,accounting for 8.33%of the total staff.(2)The medical staff of the two grass-roots medical institutions had better awareness of diabetes,and there was no statistical difference(P>0.05).In their work,they are faced with difficulties such as poor compliance behavior of diabetic patients,lack of awareness of the disease,grass-roots drugs can not meet the needs of some patients,grass-roots medical staff can not adjust the medication plan and other difficulties.Be able to participate in all kinds of special training on diabetes,and the construction of talents in the two grass-roots medical institutions has improved year by year.(3)The filing number and blood glucose control rate of diabetic patients in the two grass-roots medical institutions increased year by year.The blood glucose control rate of Xicheng Community Health Service Center was better than that of Yingxi Central Health Center in 2019.(P<0.05).(4)Compared with Xicheng Community Health Service Center,the educational level of patients managed by Yingxi Central Health Center was lower,and most of them had no work units.(P<0.05).The diabetes knowledge and personal health behavior of diabetes patients in Xicheng Community Health Service Center were significantly better than those in Yingxi Central Health Center(P<0.05).There was no statistical difference in disease burden and satisfaction between the two institutions(P>0.05).Conclusion:The service capacity of grass-roots medical institutions in Shunqing District of Nanchong City can basically meet the needs of patients with diabetes.However,there are still some problems,such as low academic qualifications of medical staff,lack of senior professional titles,medical staff can not adjust the diagnosis and treatment plan for patients with diabetes,drugs in grass-roots medical institutions can not meet the demand and so on.At the same time,diabetes patients' poor compliance behavior,poor awareness of diabetes knowledge,personal health behavior need to be improved,diabetes disease burden and other problems are the main problems for grass-roots medical institutions in the city to carry out diabetes management.