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目的评价2型糖尿病患者社区综合干预效果。方法对吴兴区滨湖社区308例2型糖尿病患者开展为期3年的建档、分级管理、积分制管理及针对性健康教育等社区综合干预,比较干预前后患者服药率、血糖控制率及生活方式改变等情况。结果综合干预后,患者吸烟比例和每日主食摄入量均较干预前降低(P<0.01);患者空腹血糖水平和收缩压分别由干预前的(7.36±1.60)mmol/L和(130.11±10.93)mm Hg下降到(7.14±1.31)mmol/L和(128.10±9.97)mm Hg(均P<0.01);患者服药率及血糖控制率分别由干预前的38.96%和34.41%提高到82.79%和51.62%(均P<0.01);空腹血糖值≥7.0 mmol/L患者比例由82.47%下降到53.90%(P<0.01)。结论建档、分级管理、积分制管理及针对性健康教育等2型糖尿病社区综合干预能有效改善患者血压和血糖指标。
Objective To evaluate the effect of community intervention in type 2 diabetes patients. Methods A total of 308 patients with type 2 diabetes in Binhu community in Wuxing district were enrolled in this study. The community-based interventions such as file establishment, grading management, integrated point system management and targeted health education were conducted. The medication rate, blood glucose control rate and life style Change and so on. Results Compared with pre-intervention, the smoking proportion and daily staple intake of patients after intervention were significantly lower than those before intervention (P <0.01). Fasting blood glucose and systolic blood pressure were significantly higher than those before intervention (7.36 ± 1.60 mmol / L and 130.11 ± 10.93) mm Hg decreased to (7.14 ± 1.31) mmol / L and (128.10 ± 9.97) mm Hg respectively (all P <0.01). The rates of medication and blood glucose control increased from 38.96% and 34.41% before intervention to 82.79% And 51.62% (all P <0.01). The proportion of patients with fasting blood glucose ≥7.0 mmol / L decreased from 82.47% to 53.90% (P <0.01). Conclusion Community-based interventions such as document building, grading management, integral system management and targeted health education can effectively improve blood pressure and blood glucose in patients with type 2 diabetes.