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目的探讨糖尿病社区医疗干预防治管理模式的疗效和可行性。方法选择2个社区的糖尿病患者120例,随机分为2组,干预组60例,给予药物治疗和社区医疗干预管理;对照组60例,给予药物治疗,定期到医院随访。观察时间为1年。对比2组患者对糖尿病的知晓率、服药依从性、血糖控制及并发症发生状况。结果干预组在糖尿病知晓率、服药依从性、血糖控制情况等方面均优于对照组,差异有统计学意义(P均<0.05)。干预组并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论通过社区干预在糖尿病患者中开展健康教育及实施医疗措施是社区居民防治糖尿病的有效手段和途径。
Objective To investigate the efficacy and feasibility of community-based management intervention for diabetes mellitus. Methods A total of 120 diabetic patients in two communities were selected and randomly divided into two groups. The intervention group was given 60 cases of drug treatment and community medical intervention. The control group was given 60 cases of drug therapy and was followed up regularly. Observation time is 1 year. Compare the two groups of patients awareness of diabetes, medication compliance, glycemic control and complications. Results The intervention group was better than the control group in the aspects of awareness of diabetes, medication compliance, blood glucose control and so on, the difference was statistically significant (all P <0.05). The complication rate in the intervention group was lower than that in the control group, but the difference was not statistically significant (P> 0.05). Conclusion Community intervention in diabetes patients with health education and implementation of medical measures is an effective means of community residents in the prevention and treatment of diabetes mellitus.