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目的探讨社区干预对老年糖尿病患者生命质量的影响。方法选取2014年1月至2015年6月在沈阳市铁西区笃工社区卫生服务中心就诊的156例老年糖尿病患者进行社区干预,并进行跟踪管理。比较患者干预前后的体重指数、收缩压、舒张压、空腹血糖(FBG)、餐后2 h血糖(2h PBG)、糖化血红蛋白(Hb Alc)以及生命质量。结果干预后,患者的体重指数、FBG、2 h PBG、Hb Alc、收缩压、舒张压均明显低于干预前,差异均有统计学意义(均P<0.05);干预后,患者的生理功能(PF)、心理功能(RP)、肌体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感功能(RE)及心理卫生(MH)评分均明显高于干预前,差异均有统计学意义(均P<0.05)。结论社区干预对老年糖尿病患者的作用与药物治疗同等重要,不仅可有效降低血糖,还可以改善患者生命质量。
Objective To explore the impact of community intervention on the quality of life of elderly diabetic patients. Methods From January 2014 to June 2015, 156 elderly patients with diabetes who were treated in Bei Community Health Service Center, Tiexi District, Shenyang City were selected for community intervention and follow-up management. Body mass index, systolic blood pressure, diastolic blood pressure, fasting blood glucose (FBG), 2h postprandial blood glucose (2h PBG), Hb Alc, and quality of life were compared before and after treatment. Results After intervention, body mass index, FBG, 2 h PBG, Hb Alc, systolic blood pressure and diastolic blood pressure were significantly lower than those before intervention (all P <0.05); after intervention, the patients’ (PF), psychological function (RP), body pain (BP), general health (GH), vitality (VT), social function (SF), emotional function (RE) and mental health (MH) Before and after, the differences were statistically significant (all P <0.05). Conclusion The effect of community intervention on elderly diabetic patients is as important as medication, which can not only effectively reduce blood sugar, but also improve the quality of life of patients.