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目的探讨分析社区医疗机构干预对老年人2型糖尿病生活质量及预后影响。方法选取本辖区396例2型糖尿病老年患者随机分为观察组和对照组,观察给予社区医疗机构的综合干预,对照组给予常规随访治疗,比较两组患者干预前后血糖水平,生活质量及干预后不良生活方式。结果干预后两组患者空腹血糖和餐后2h血糖均显著改善,且干预组患者血糖水平改善更显著,干预后干预组患者不良饮食、吸烟、酗酒、不运动、心理亚健康等不良生活发生率均高于对照组患者,差异均具有统计学意义(P<0.05)。结论通过社区医疗机构的综合干预可显著提高老年2型糖尿病患者的治疗效果,改善患者的生活质量,纠正患者的不良生活方式,有效控制患者的血糖水平。
Objective To explore the impact of community-based medical institutions on quality of life and prognosis of type 2 diabetes in the elderly. Methods A total of 396 elderly patients with type 2 diabetes mellitus were randomly divided into observation group and control group. The comprehensive interventions were given to community medical institutions. The control group was given routine follow-up treatment. The levels of blood glucose, quality of life and the quality of life before and after intervention were compared between the two groups Bad way of life. Results After fasting, fasting blood glucose and 2h postprandial blood glucose were significantly improved in both groups, and the blood sugar level in the intervention group improved more significantly. The incidence of adverse life such as poor diet, smoking, alcohol abuse, non-exercise and mental subhealthy in the intervention group Were higher than the control group patients, the difference was statistically significant (P <0.05). Conclusion The comprehensive intervention of community medical institutions can significantly improve the treatment effect of elderly type 2 diabetes patients, improve the quality of life of patients, correct the patients’ bad life style and effectively control their blood sugar level.