Volume 10,Issue 4
The Application Effect of Family Doctor Team Combined with Hierarchical Diagnosis and Treatment among People at Risk of Diabetic Foot in the Community
Objective: To explore the disease management effect and risk prevention and control effect of family doctor team joint hierarchical diagnosis and treatment model on high-risk groups of diabetic foot in the community. Methods: 120 high-risk patients with diabetic foot who were screened in the community from March 2020 to March 2023 were selected and divided into a control group of 60 cases (conventional chronic disease management) and an observation group of 60 cases (graded diagnosis and treatment intervention led by a family doctor team) using the random number table method. The differences in the foot risk assessment system (DFS score), self-management behavior scale (DSMQ score), graded referral implementation rate, blood glucose metabolism index and incidence rate of foot complications were compared between the two groups after 12 months of intervention. Results: After the intervention, the DFS score of the observation group was lower than that of the control group, and the self-management score was higher than that of the control group (p < 0.05); the stratified referral implementation rate of the observation group reached 96.67%, which was significantly higher than 73.33% of the control group (p < 0.05); the fasting blood glucose value of the observation group (6.28 ± 0.82mmol/L) was better than that of the control group (7.65 ± 1.03mmol/L), the glycated hemoglobin in the observation group (6.57 ± 0.75) was significantly lower than the control group (7.92 ± 0.98) (all p < 0.05); the total incidence of foot complications in the observation group was 5.00% (2 cases of superficial ulcers, 1 case of deep infection), which was significantly lower than 21.67% in the control group (8 cases of superficial ulcers, 3 cases of deep infection, and 2 cases of abscess formation) (p < 0.05). Conclusion: The family doctor team combined with the hierarchical diagnosis and treatment model can effectively improve the metabolic indicators of high-risk groups with diabetic foot, improve self-management ability and significantly reduce the risk of foot complications, providing an innovative management model for the prevention and control of diabetic foot in the community.
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