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目的探讨医院-社区联合群体访谈教育在社区糖尿病患者及居民中的应用效果。方法选择南宁市3个社区分别设为试验组、对照组及空白组,每组均纳入30名糖尿病患者及40名居民,试验组采用医院-社区联合群体访谈教育模式,对照组采用集中授课和互动讨论教育模式,空白组给予发放糖尿病相关知识的健康宣教资料、随访及健康指导,比较干预前及干预3个月、6个月、1年3组研究对象糖尿病知识水平,社区糖尿病患者自我管理效能及生理指标。结果干预后,3组的糖尿病知识测试评分、自我效能评分较前升高,而FBG、餐后2h血糖、TG及糖化血红蛋白水平较前降低(P<0.05),且试验组各评分及指标均优于对照组及空白组(P<0.05)。结论医院-社区联合群体访谈教育能提高社区糖尿病患者及居民糖尿病知识水平,提升社区糖尿病患者的自我管理效能,有助于改善社区糖尿病患者的血糖控制水平。
Objective To explore the effect of interviews with hospital-community groups on community diabetes and residents. Methods The three communities in Nanning were selected as experimental group, control group and blank group, 30 diabetic patients and 40 residents were enrolled in each group. The experimental group adopted the hospital-community joint group interview education mode, Interactive education mode was discussed. In the blank group, health education information about diabetes-related knowledge, follow-up and health guidance were given. The levels of knowledge of diabetes, self-management of community diabetes were compared before and 3 months, 6 months and 1 year after intervention. Performance and physiological indicators. Results After intervention, the scores of knowledge test and self-efficacy of diabetes in three groups were higher than those of the previous groups, while FBG, 2h postprandial blood glucose, TG and glycosylated hemoglobin were lower than before (P <0.05) Better than the control group and the blank group (P <0.05). Conclusion Interview education in hospital-community groups can improve diabetes knowledge of community-based patients and residents, enhance the self-management efficacy of community-based diabetes patients, and help to improve blood sugar control in community-based patients with diabetes.