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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 effect of comprehensive interventions on behavior change and treatment in diabetic patients and provide basis for effective management of chronic diseases. Methods A total of 220 patients were randomly selected from 4 diabetic patients in Chengde City for intervention. They were randomly divided into intervention group and control group. The intervention group for a year of comprehensive intervention. Measures include health education, diet therapy, exercise therapy, medication, self-monitoring of blood glucose; control group for the treatment of traditional diabetes. Results Compared with the control group, the awareness rate and self-behavior change rate of diabetes patients in the intervention group after intervention were significantly higher than those in the control group (P <0.05), and the fasting blood glucose and glycosylated hemoglobin were significantly lower than those before intervention (P <0.05) , And the decrease was significantly lower than that of the control group (P <0.05). Conclusion The comprehensive diabetes intervention in the community can improve the self-management ability of diabetic patients, change the adverse life behaviors, reduce the risk factors of diabetes and reduce the complication of diabetes so as to reduce the patient’s medical expenses and improve the quality of life.