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目的评价对社区糖尿病患者实施强化管理干预措施后的效果。方法通过多阶段整群随机抽样的方法抽取平湖市831名社区糖尿病患者作为强化管理组,选择与强化管理组具有相同社区卫生条件、经济状况、生活习惯等情况的744名其他社区糖尿病患者作为常规管理组。分别对其进行为期一年的强化管理和常规管理后,比较强化管理和常规管理两组中社区糖尿病患者相关知识知晓率,血糖控制率及心理行为改变等情况。结果管理干预1年后,强化管理组社区糖尿病患者较常规管理组社区糖尿病患者在高脂饮食、高盐饮食、过量饮酒、规律运动、规范用药等行为习惯方面均有明显改善。强化管理组社区糖尿病患者空腹血糖控制率高于常规管理组(45.49%vs 36.69%),差异有统计学意义(P<0.01);且强化管理组社区糖尿病患者管理干预后空腹血糖控制率明显高于管理干预前(45.49%vs 34.78%),差异有统计学意义(P<0.01)。结论糖尿病的社区强化管理治疗能提高糖尿病患者空腹血糖的控制率。
Objective To evaluate the effect of intensive management intervention on community diabetic patients. Methods A total of 831 community-based diabetics in Pinghu City were enrolled in this study. A total of 744 other community-based diabetics with the same community health conditions, economic status and living habits as the intensive management group were selected as the routine Management group. After a year of intensive management and routine management respectively, the knowledge-related rate of diabetes-related knowledge, the rate of glycemic control, and the change of psychological behavior among community-based diabetes patients in the two groups were compared. Results One year after management intervention, community-based diabetes mellitus in the intensive management group showed a significant improvement over those in the community-based diabetes management group in terms of high-fat diet, high-salt diet, excessive drinking, regular exercise and normative medication. Compared with the control group (45.49% vs 36.69%), the fasting blood glucose control rate in community-based diabetes mellitus patients in the intensive management group was significantly higher than that in the control group (P <0.01); and the fasting blood glucose control rate was significantly higher in the DM group Before the management intervention (45.49% vs 34.78%), the difference was statistically significant (P <0.01). Conclusion Intensive management of diabetes mellitus can improve the control rate of fasting blood glucose in diabetic patients.