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目的:观察合理的预防干预对社区内的糖尿病患者的应用效果。方法:对2010年4月~2013年7月社区内糖尿病患者274例,采用随机数字表法分为观察组和对照组,对照组常规糖尿病预防管理,观察组在此基础上施行系统化社区干预方案,比较两组患者血糖控制效果,糖尿病相关知识的了解情况。结果:两组患者经过12个月的分组干预后,观察组患者问卷得分为85.7±4.6分,对照组患者平均得分74.3±9.6分,两组患者得分差异显著(t=4.491,P<0.05);观察组患者12个月后空腹血糖浓度8.5±2.1mmol/L,对照组患者空腹血糖浓度8.8±3.2mmol/L,组间差异无明显统计学意义(t=1.124,P>0.05),而观察组随机血糖浓度13.2±2.3mmol/L,对照组15.4±3.3mmol/L,组间差异显著(t=3.727,P<0.05)。结论:社区内开展全面系统的糖尿病干预机制对改善患者预后,提高糖尿病患者生活质量具有十分重要的作用。
Objective: To observe the effect of reasonable preventive intervention on diabetic patients in community. Methods: From April 2010 to July 2013, 274 patients with diabetes in the community were divided into observation group and control group by random number table. The control group was given conventional diabetes prevention and control. On the basis of this, the observation group was given systematic community intervention Program to compare the two groups of patients with glycemic control effect, diabetes-related knowledge of the situation. Results: After 12 months’ intervention, the score of questionnaire in observation group was 85.7 ± 4.6 and in control group was 74.3 ± 9.6, there was significant difference between the two groups (t = 4.491, P <0.05) ; Fasting blood glucose concentration was 8.5 ± 2.1mmol / L in 12 months after treatment in the observation group and fasting plasma glucose was 8.8 ± 3.2mmol / L in the control group. There was no significant difference between the two groups (t = 1.124, P> 0.05) The observation group random blood glucose concentration 13.2 ± 2.3mmol / L, control group 15.4 ± 3.3mmol / L, significant difference between groups (t = 3.727, P <0.05). Conclusion: To develop a comprehensive and systematic mechanism of diabetes intervention in the community plays an important role in improving the prognosis of patients and improving the quality of life in diabetic patients.