糖尿病社区综合防治效果评价  

Evaluation of the effect on integrated prevention and treatment of diabetes in community

作　　者：周智凯 高莉雯[1] 冯铮[1] 宋庆云 沈一诺 

机构地区：[1]江苏省苏州市沧浪区卫生防疫站,苏州215006 [2]江苏省苏州市沧浪区公园社区卫生服务站,苏州215006 [3]江苏省苏州市沧浪区双塔社区卫生服务站,苏州215006

出　　处：《上海预防医学》2004年第2期64-66,共3页Shanghai Journal of Preventive Medicine

摘　　要：[目的 ]　通过社区糖尿病综合防治 ,使糖尿病病人病情稳定 ,并发症减少 ,病人生活质量提高 ,医药费用降低。以此观察社区卫生服务在糖尿病综合防治中的实际效果。　 [方法 ]　对糖尿病人进行防治糖尿病健康教育 ,并饮食和运动的量化干预 ,建立科学的生活方式 ,纠正不良的生活习惯 ,控制可能导致糖尿病并发症发生的危险因素 ,配合必要的药物治疗。　 [结果 ]　综合管理 3个月 ,83例病人综合防治前后自身对照糖尿病防治知识及自我保健能力方面平均提高 89.16% (P <0 .0 1) ,纠正不良生活方式和不良生活习惯 79.3 2 % (P <0 .0 1) ,糖尿病自测率提高 71.0 8% (P <0 .0 1) ,体重平均下降 1.80kg(P <0 .0 1) ,腰围平均下降 1.77cm(P <0 .0 1) ,臀围平均下降 1.0 4cm(P <0 .0 1) ,体重指数 (BMI)平均下降 0 .68(P <0 .0 1) ,收缩压平均下降 11.19mmHg(P <0 .0 1) ,舒张压平均下降 5 .61mmHg(P <0 .0 1) ,空腹血糖平均下降 3 .3 3mmol/L(P <0 .0 1) ,餐后 2h血糖平均下降 3 .5 4mmol /L(P <0 .0 1) ,患者医药费用平均每人减少 97.0 5元。　 [结论 ]　社区卫生服务综合防治糖尿病 ,能提高疗效 。Objective] Through integrated prevention and treatment of community health care service to stabilize the course of diabetes and reduce complications, improve life quality and reduce medical expenses. [Methods] Quantitative intervention in food and sport for diabetics. Diabetics were led to establish a scientific life style and correct adverse life habits, control risk factors that could induce diabetes, and take necessary medication. [Results] Through integrated control for 3 months, 83 patients' conditions markedly improved in comparison to pre-control. Their prevention trentment knowledge of diabetes and self-care ability on average were improved by 89.16%(P<0.01). Adverse life style and habits were corrected by 79.32%(P< 0.01 ). Self-examination rate of diabetes increased by 71.08%(P<0.01). Body weight on average reduced by 1.80kg(P< 0.01). Waistline on average reduced by 1.77cm(P<0.01). Hipline on average reduced by 1.04cm(P<0.01). Body mass index (BMI) on average reduced by 0.68(P<0.01). Systolic blood pressure on average reduced by 11.19mmHg(P<0.01). Diastolic pressure was averagely reduced by 5.61mmhg(P<0.01). Fasting blood-glucose was averagely reduced by 3.326mmol/L(P<0.01). Postprandial blood-glucose (2 hours after meal) on average reduced by 3.5368 mmol/L(P<0.01). Every patient's medical expense on average was reduce by 97.05 yuan. [Conclusion] In comparison to simple medication, the integrated prevention treatment method of community health care service can improve curative effect, improve life quality and reduce medical expenses.

关 键 词：糖尿病 社区卫生 体重指数 生活质量 健康教育 

分 类 号：R587.1[医药卫生—内分泌]