承德市社区综合干预糖尿病的效果评价  

Evaluation on diabetes comprehensive intervention effects in community of Chengde

作　　者：王天星[1] 高贵珍[1] 魏玲[1] 赵玲[1] 

机构地区：[1]承德市疾病预防控制中心,河北811300

出　　处：《医学动物防制》2011年第3期272-273,共2页Journal of Medical Pest Control

摘　　要：目的了解综合干预措施在糖尿病患者行为改变及治疗中的作用,为制定有效的慢性病管理措施提供依据。方法在承德市4个社区糖尿病患者中随机抽取220例为干预对象,将其随机分为干预组和对照组。对干预组进行为期一年的综合干预。措施包括健康教育、饮食治疗、运动治疗、药物治疗、自我血糖监测;对照组为传统糖尿病治疗。结果综合干预后干预组糖尿病患者相关知识的知晓率、自我行为改变率均较干预前明显提高且优于对照组(P<0.05),空腹血糖、糖化血红蛋白较干预前显著降低(P<0.05),且下降幅度明显低于对照组(P<0.05)。结论在社区开展糖尿病综合干预,可提高糖尿病患者自我管理能力,改变不良生活行为,降低糖尿病危险因素,减少糖尿病并发症从而降低病人的医疗费用,提高生活质量。Objective To understand the comprehensive intervention effects on behavior change and treatment in diabetic patients,and provide basis for making effective management measures of chronic disease.Method 220 people were randomly selected from diabetic patients in 4 communities of Chengde and divided into intervention group and control group.Intervention group were given comprehensive intervention measures for a year,and measures included health education,diet treatment,exercise treatment,drug treatment,and self blood glucose monitoring.Control group was given traditional diabetes treatment.Results After comprehensive intervention,awareness rate of diabetes related knowledge and self behavior change rate were obviously improved than before intervention and better than control group（P〈0.05）.Fasting blood-glucose,glycosylated hemoglobin were significantly lower too（P〈0.05）,and descending range were lower than control group（P〈0.05）.Conclusions Carried out diabetic comprehensive intervention in communities could improve diabetic patients self management ability,change unhealthy life styles,reduce diabetes risk factors,decrease diabetic complication and lower the patient＇s medical expenses and improve the quality of life.

关 键 词：综合干预 糖尿病 行为 效果评价 

分 类 号：R587.1[医药卫生—内分泌]