论文部分内容阅读
目的分析评价社区综合干预措施对糖尿病患者认知水平和病情控制的影响。方法在云南省昆明市科兴社区选择216例糖尿病患者进行问卷调查和体检,对全部患者进行为期1年半的综合干预并评价干预效果。结果干预后,糖尿病患者对糖尿病危害、糖尿病综合干预方法及其重要性、病情控制指标等知识的知晓率明显提高(P<0.05);干预后患者血糖控制理想率达50.24%,较干预前(5.56%)明显提高(χ2=130.986,P=0.000);干预后患者血压控制理想率达到77.18%,明显高于干预前(58.33%)(χ2=17.091,P=0.000);而干预前后患者体重控制情况无明显变化(χ2=0.569,P=0.752)。结论社区综合干预可明显提高糖尿病患者对糖尿病防治知识的认知水平,改善糖尿病患者血糖、血压控制水平。
Objective To analyze and evaluate the effect of community integrated intervention on cognitive level and disease control in diabetic patients. Methods A total of 216 diabetic patients in Kexing Community, Kunming, Yunnan Province were selected for questionnaire survey and physical examination. All patients were subjected to comprehensive intervention for one and a half years and the intervention effect was evaluated. Results After the intervention, the awareness rate of diabetic patients with diabetes, comprehensive intervention methods of diabetes and its importance, disease control indicators and other knowledge was significantly improved (P <0.05); after intervention, the ideal rate of glycemic control reached 50.24% 5.56%) (χ2 = 130.986, P = 0.000). The ideal rate of blood pressure control after intervention was 77.18%, which was significantly higher than that before intervention (χ2 = 17.091, P = 0.000) There was no significant change in control (χ2 = 0.569, P = 0.752). Conclusion Community-based intervention can significantly improve the level of knowledge about diabetes prevention and control in diabetic patients and improve the control of blood glucose and blood pressure in diabetic patients.