对不同文化层次的社区2型糖尿病患者生活干预效果评价  

Effect on Lifestyle Intervention in Community-dwellers with T2DM in Different Education Levels

作　　者：郑爱英[1] 纪文英[1] 陈慎仁[1] 黄泽泓[1] 吴燕丹[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《实用预防医学》2006年第4期830-833,共4页Practical Preventive Medicine

基　　金：2004年广东省医学科研基金立项课题(项目编号:A2004433);汕头市科学技术研究基金立项课题(汕府科[2003年77号]

摘　　要：目的研究对不同文化层次的社区2型糖尿病(DM)患者,实施健康教育和生活行为干预的可行性和有效性,探讨提高社区2型DM二级预防的方法。方法以社区DM病友联谊会的活动形式,按照健康教育程序,实施病人教育。参照国际认可的DM低危组5个变量,结合社区病人特点,进行生活行为干预。实施后设计问卷调查,比较教育和生活方式干预对不同文化层次的社区2型DM患者的影响效果,结果经SPSS软件处理。结果两组比较,在饮食知识掌握、控制总热量、食物换算、BMI、血糖监测、HbAIC、Ch、LDL、HDL差异有统计学意义(P<0.05);而在运动、戒烟、限酒、FPG、Bp、TG的控制均差异无统计学意义(P>0.05)。结论高文化组患者教育依从性较好,但给予低文化组患者更多指导跟踪仍能达到教育的目的,通过社区健康教育能达到社区2型DM二级预防作用。Objective To study the feasibility and validity of health education and life- style intervention on type 2 diabetes mellitus （T2DM） patients with different education levels among the communitydwellers for improving its secondary prevention. Metheod According to the process of health education, nd organizing the friendship parties in the community, diabetic education was implemented among the patients and their family members. And interfere in the patients＇ living behaviors referring to the patients＇ features and the 5 variable quantity of the low risk group admitted internationally. After implementation of these measures, a questionnaire investigation among the high- educated group and low- educated group patients were collected, and the effectiveness of their lifestyle modification was compared. The data were managed with software SPSS. Results The diet control, calorie restriction, food adjustment, BMI, blood sugar monitoring, HbA1C, OH, LDL-C, and HDL-C between this two groups showed statistically significant difference （P 〉 0.05）; however, exercises, smoking stopping, alcohol restriction, FPG, BP, and TG were not reached statistically significant difference （P〉0.05） . Conclusions The adherence of the high- educated patients is relatively better, but with more education and direction, the low - educated patients of the community are also satisfied, and achieve the goal of secondary prevention for T2DM.

关 键 词：社区 2型糖尿病 不同文化层次 病人教育 生活干预 

分 类 号：R587.1[医药卫生—内分泌]