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目的研究社区行为干预对糖尿病病程的影响,为建立糖尿病社区规范化管理方案提供可行性建议。方法调查对象为经住院系统治疗且资料齐全的本镇2型糖尿病患者。采用社区干预类试验的研究方法。通过健康指导,在药物治疗控制血糖的同时,社区行为干预改变饮食和行为习惯,对比患者血糖、血脂控制情况,糖尿病并发症发生率、病程愈后的影响。结果社区行为干预后,患者对糖尿病防治知识知晓率较对照组相比明显提高有显著性差异(P<0.05);干预组空腹血糖(FPG)、餐后2h血糖(PPG)、糖化血红蛋白(Hb Alc)与干预前比较,有显著性差异(P<0.05)。干预组吸烟、饮酒、甜食及高脂饮食四项参数不良行为明显改善。结论行为干预是一项有效控制糖尿病患者血糖的治疗手段。糖尿病患者通过社区行为干预,改变了过去的行为习惯和就医模式,有利于改善患者的遵医行为,有效控制糖尿病的病情,预防并发症的发生,提高糖尿病患者的生活质量。
Objective To study the influence of community behavior intervention on the course of diabetes mellitus and to provide feasible suggestions for establishing a standardized management plan for diabetes community. Methods The subjects were type 2 diabetics of our town who were treated by hospitalized system and had complete information. Research methods using community intervention trials. Through the health guidance, while controlling the blood sugar in the medical treatment, the community behavior intervention changed the diet and the behavior habit, compared with the patient’s blood sugar, the blood lipid control condition, the diabetic complication rate and the course of the disease later. Results After intervention of community behavior, there was a significant difference in the awareness rate of diabetes prevention and control among patients (P <0.05). FPG, PPG, Hb Alc) compared with before intervention, there was a significant difference (P <0.05). Intervention group smoking, drinking, sweets and high fat diet four parameters significantly improved the bad behavior. Conclusion Behavioral intervention is an effective treatment to control blood sugar in diabetic patients. Through intervention of community behavior, patients with diabetes have changed their past behavior patterns and medical treatment patterns, which helps to improve the compliance of patients, effectively control the condition of diabetes, prevent the occurrence of complications, and improve the quality of life of patients with diabetes.