论文部分内容阅读
目的探索健康管理在农村地区糖尿病患者管理中的实用技术与方法,并对健康管理方法的应用效果进行评价。方法每个乡镇随机抽取1个行政村,选择在基本公共卫生服务登记在册的20岁以上糖尿病患者为研究对象,在采取“面对面”健康管理服务的同时,将研究开始和结束时进行问卷调查,对所得的调查数据,应用SPSS 16.0统计软件进行统计分析。结果项目共招募到1 652人参加,项目结束时共回访1 639人,回访率99.2%。通过健康管理,糖尿病患者的血糖控制率由63.50%上升到81.33%,总胆固醇异常率由14.29%下降到7.27%,甘油三酯异常率由36.75%下降至25.83%,低密度脂蛋白异常率由24.60%下降至20.00%,腰围超标率由29.78%下降至16.90%,体重超重率由42.6%下降至30.10%,糖尿病患者的饮食、运动等生活习惯有了明显改善,荤素合理搭配、每餐主食适量、口味清淡、饭前喝汤、吃早餐、不吃夜宵、吃水果和蛋奶等健康生活方式逐渐形成。结论健康管理实用技术与方法可明显改善糖尿病患者的生活方式,对血糖控制效果明显,对其他慢性病的防治也具有积极意义。
Objective To explore the practical techniques and methods of health management in the management of diabetic patients in rural areas and to evaluate the application effects of health management methods. Methods One administrative village was randomly selected from each township. Diabetic patients over the age of 20 registered in the basic public health service were selected as the research subjects. At the same time, the study was conducted at the beginning and the end of the questionnaire Survey, the survey data obtained, the application of SPSS 16.0 statistical software for statistical analysis. Results A total of 1 652 people were enrolled in the project. At the end of the project, a total of 1 639 people were interviewed, with a return rate of 99.2%. Through the health management, the blood glucose control rate of diabetic patients increased from 63.50% to 81.33%, the total cholesterol abnormal rate dropped from 14.29% to 7.27%, the abnormal rate of triglycerides decreased from 36.75% to 25.83%, and the rate of low density lipoprotein 24.60% to 20.00%, waist excess rate decreased from 29.78% to 16.90%, weight overweight rate decreased from 42.6% to 30.10%, diabetes, diet, exercise and other habits have been significantly improved, meat and vegetables with a reasonable, each meal The amount of staple food, light taste, soup before meals, eat breakfast, do not eat supper, eating fruit and egg milk and other healthy lifestyle gradually formed. Conclusion Practical techniques and methods of health management can obviously improve the life style of patients with diabetes, and have obvious effect on blood sugar control. It is also of positive significance for the prevention and treatment of other chronic diseases.