Volume 11,Issue 2
Analysis of the Effects of Community-based Refined Management of Chronic Diseases on Elderly Patients with Diabetes
Objective: To explore the effectiveness of community-based refined management of chronic diseases when applied to elderly patients with diabetes, and to analyze its impact on patients’ blood sugar, glycosylated hemoglobin levels, probability of hospitalization for complications, and risk of death. Methods: 100 elderly patients with diabetes who visited the outpatient clinic of our hospital from January 2023 to December 2024 were selected as the research subjects, divided into two groups, the management group and the control group, with 50 people in each group. The control group underwent routine blood sugar adjustment, and the management group implemented community-based refined management intervention for chronic diseases. The fasting blood sugar, 2-hour postprandial blood sugar and glycosylated hemoglobin levels of the two groups of patients before and after management were comparatively analyzed, and data related to complications, hospitalization rate and death risk after management were collected. Results: After refined management intervention, the fasting blood sugar, 2-hour postprandial blood sugar and glycated hemoglobin levels of elderly patients with diabetes in the management group were significantly lower than before management and lower than those in the control group (p < 0.05). After management, the blood sugar standard rate of the management group reached 78.00%, the hospitalization rate for complications was 8.00%, and no deaths occurred during the period. After management in the control group, the blood glucose compliance rate reached 52.00%, and the hospitalization rate for complications was 24.00%. No deaths occurred during the period. There was a significant difference in the blood glucose compliance rate and hospitalization rate for complications (p < 0.05). Conclusion: Refined management of chronic diseases in the community can effectively reduce blood sugar and glycated hemoglobin levels in elderly patients with diabetes, improve blood sugar compliance rates, reduce the risk of hospitalization for complications, and ensure the safety of patients. It has the value of clinical promotion and application.
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