论文部分内容阅读
目的探讨社区综合干预措施对Ⅱ型糖尿病患者的干预效果。方法选取顺德容桂社区糖尿病患者242例,随机分为干预组122例,对照组120例。对干预组实施为期20个月的社区综合干预,给予饮食、运动及心理干预,药物治疗、血糖监测、健康教育等,对照组仅给予常规药物治疗。结果经过20个月的社区综合干预,干预组空腹血糖、餐后2 h血糖、糖化血红蛋白、血脂和血压较干预前和对照组均有明显下降,血糖控制率较对照组明显提高(P<0.05)。两组体重指数比较差异无统计学意义(P>0.05)。而对照组干预前后上述指标水平比较,差异均无统计学意义(P>0.05)。结论在社区开展糖尿病综合干预,可大大提高糖尿病患者的自我保健能力,改变不良生活方式,有效地控制血糖。
Objective To investigate the intervention effect of community-based interventions on type 2 diabetes patients. Methods 242 patients with diabetes in Shunde Ronggui community were randomly divided into intervention group (122 cases) and control group (120 cases). The community intervention was implemented for 20 months, and diet, exercise and psychological intervention, drug treatment, blood glucose monitoring and health education were given to the intervention group. The control group was given routine drug treatment only. Results After 20 months of community intervention, the fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin, blood lipid and blood pressure in the intervention group were significantly lower than those in the intervention group and the control group, and the blood glucose control rate was significantly higher than that in the control group (P <0.05 ). There was no significant difference in body mass index between the two groups (P> 0.05). The control group before and after the intervention of the above indicators, the difference was not statistically significant (P> 0.05). Conclusions The comprehensive diabetes intervention in the community can greatly improve the self-care ability of diabetic patients, change the unhealthy life style and effectively control blood sugar.