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目的分析社区医生干预对糖尿病治疗依从性和疗效的影响。方法选择2015年12月-2016年5月在深圳市光明新区人民医院长圳社康中心治疗的160例2型糖尿病患者为研究对象,随机分为观察组和对照组各80例,两组均接受常规糖尿病基础治疗,观察组增加社区干预措施,比较干预前及干预12个月后两组患者的空腹血糖(FBG)、餐后2 h血糖(P2hBG)、糖化血红蛋白(HbA_1c)水平、治疗依从性、治疗满意率、并发症发生率。结果干预12个月后,观察组依从率为96.30%(77/80),高于对照组的81.30%(65/80);干预后,两组FBG、P2hBG、HbA_1c水平明显低于干预前,且观察组明显低于对照组;观察组治疗满意度为(92.45±11.21)分,高于对照组的(83.51±13.54)分;差异均有统计学意义(P<0.05)。两组均未发生严重并发症。结论社区综合干预能够明显提高糖尿病患者治疗的依从性以及治疗效果,建议临床推广应用。
Objective To analyze the influence of community doctor intervention on the compliance and curative effect of diabetes treatment. Methods From December 2015 to May 2016, 160 type 2 diabetic patients treated in Shenzhen Community Health Center, People’s Hospital of Guangming New District, Shenzhen were randomly divided into observation group (80 cases) and control group (80 cases) The patients in the observation group were enrolled in the routine treatment of diabetes. The community interventions were added in the observation group. The levels of fasting blood glucose (FBG), 2h postprandial blood glucose (HbA_1c) and HbA_1c levels were compared between the two groups before and 12 months after intervention. Sexual, treatment satisfaction, complication rate. Results After 12 months of intervention, the compliance rate of the observation group was 96.30% (77/80), which was higher than that of the control group (81.30%, 65/80). After intervention, the levels of FBG, P2hBG and HbA_1c in the two groups were significantly lower than those before intervention (92.45 ± 11.21) points higher than the control group (83.51 ± 13.54) points; the difference was statistically significant (P <0.05). No serious complications occurred in either group. Conclusion Comprehensive community intervention can significantly improve the compliance of patients with diabetes and the treatment effect, it is recommended clinical application.