老年2型糖尿病患者社区健康管理研究  

Study on Effect of Community Intervention in Elders with Type 2 Diabetes Mellitus

作　　者：孙晗潇[1] 吴辉[1] 王烈[1] 

机构地区：[1]中国医科大学公共卫生学院社会医学教研室,沈阳110001

出　　处：《中国医科大学学报》2008年第4期532-533,536,共3页Journal of China Medical University

基　　金：中英城市社区卫生服务与贫困救助项目(UHPP)

摘　　要：目的探索老年2型糖尿病患者社区健康管理适宜模式。方法选取社区内老年2型糖尿病患者70人,在收集健康信息的基础上进行疾病危险因素评价,采用健康教育、量化饮食疗法、量化运动疗法、合理用药、自我监测等措施,评价6个月的干预效果。结果干预后患者的糖尿病知识知晓率、行为控制等项指标明显提高(P<0.05),空腹血糖及餐后2h血糖水平均显著降低(P<0.01),糖化血红蛋白达标率显著提高(P<0.01);饮食控制、体育锻炼及健康教育是糖化血红蛋白达标的保护因素(OR<1.00);本次干预的人均直接成本为119.83元。结论社区健康管理模式对社区老年2型糖尿病患者的病情控制具有显著效果。Objective To explore the appropriate model of community health management in elders with type 2 diabetes mellitus. Methods Seventy elder patients with type 2 diabetes mellitus were selected to undergo community intervention for six months in the way of health education, quantificational dietary, quantificational exercises, reasonable medicine administration, self-monitor and assessment of risk factors by collecting health information, and then the results were analyzed. Results After community intervention, patients were much improved in their knowledge of diabetes and their behavior control （P 〈 0.05 ）. The levels of fasting blood sugar and blood sugar 2 hours after meal were all decreased （P 〈 0.01 ）, standardized rate of hemoglobin of glycosylation was significantly increased （P 〈 0.01 ）, dietary control, and exercises and health education were all protective factors of standardized rate of hemoglobin of glycosylation （OR 〈 1.00）. The direct cost of this intervention was 119.83 yuan. Conclusion The model of community health management has significant effect on community diabetes control of elders with type 2 diabetes mellitus.

关 键 词：老年2型糖尿病 社区健康管理模式 

分 类 号：R195.4[医药卫生—卫生统计学]