社区糖尿病患者知己健康管理的效果研究  

Efficacy of Systematic Health Management for Diabetes Mellitus Patients in Community

作　　者：何善娴[1] 李琳[1] 杨凤梅[1] 

机构地区：[1]首都医科大学附属北京安贞医院社区医疗与疾病控制处,北京市100029

出　　处：《中国全科医学》2010年第31期3556-3558,共3页Chinese General Practice

摘　　要：目的探索社区糖尿病患者知己健康管理的效果。方法选择已经确诊的社区2型糖尿病患者385例为研究对象进行知己健康管理,采用运动饮食量化、平衡膳食、指导合理用药、健康教育和心理疏导等管理方法进行强化管理3个月。结果管理后体质量、体质指数、腰围、收缩压、舒张压、空腹血糖、餐后2h血糖、糖化血红蛋白、总胆固醇、三酰甘油、低密度脂蛋白等指标与管理前比较,差异均有统计学意义(P<0.01);管理后有效运动量明显增加、实际摄入量下降,与管理前比较差异均有统计学意义(P<0.01)。结论运用知己健康管理对社区糖尿病患者进行强化管理效果显著,可操作性强。Objective To study the effectiveness of systematic health management for patient with type 2 diabetes mellitus in community.Methods Totally 385 patients diagnosed as having type 2 diabetes mellitus were given systematic health management including exercise treatment,quantification diet,and oral drugs,healthy education and psychological counseling for 3 months.Results After the systematic management,the indexes of body mass index,body mass,waistline,systolic blood pressure,diastolic blood pressure,fasting and 2 h postprandial blood glucose,glycosylated hemoglobin,total cholesterol,triglyceride,and lower density lipoprotein-cholesterol,showed statistically significant differences （P〈0.01）.And the effective exercise quantity was significantly increased and the actual kilocalorie intake was significantly decreased （P〈0.01）.Conclusion The systematic treatment was very effective for diabetes mellitus patients in community,and it is practical.

关 键 词：糖尿病 社区 健康管理 

分 类 号：R587.1[医药卫生—内分泌]