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目的探讨社区糖尿病教育干预对糖尿病患者治疗依从性的影响。方法在2014年1月-2016年1月滨海新区杭州道街向阳社区卫生服务中心门诊中选出属于该院辖区的社区糖尿病患者并从中随机选出220例,对这些患者有关糖尿病基础知识、饮食控制、运动治疗、心理调节、自我检查以及定期诊治的依从性进行全面性的调查,并记录患者空腹血糖值、糖化血红蛋白含量。然后对这些患者采取糖尿病健康知识宣传教育工作,并对接受教育后的220例患者的各类数据进行记录和整理,与教育前数据对比研究。结果经健康教育后,患者的空腹血糖值和糖化血红蛋白含量明显下降,同时患者的治疗依从性得到了较大程度的提高。健康教育前后各类数据之间存在较大差异有统计学意义(P<0.05)。结论采用社区糖尿病健康知识教育工作能够有效提升糖尿病患者的治疗依从性,并且还能够帮助患者有效降低血糖值,提高患者的生活质量。
Objective To investigate the effect of community diabetes education intervention on treatment adherence in diabetic patients. Methods From January 2014 to January 2016, community-based diabetes patients belonging to the jurisdiction of the hospital were selected from outpatient clinics of Xiangyang Community Health Service Center, Hangzhou Daojie Street, Binhai New Area, and 220 cases were randomly selected from them. The basic knowledge of diabetes, diet Control, exercise therapy, psychological adjustment, self-examination and regular diagnosis and treatment compliance to conduct a comprehensive survey, and record the patients fasting blood glucose, glycosylated hemoglobin content. Then these patients were taken to propagandize and educate their health knowledge of diabetes, and all kinds of data of 220 patients after receiving education were recorded and collated, compared with pre-education data. Results After the health education, the patients’ fasting blood glucose and HbA1c levels decreased significantly, and the treatment compliance of the patients was greatly improved. Before and after health education there was a significant difference between the various types of data (P <0.05). Conclusion Adopting community diabetes health knowledge education can effectively improve the treatment compliance of diabetic patients, and can also help patients effectively reduce blood sugar levels and improve patients’ quality of life.