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[目的]探讨以社区为基础的糖尿病患者综合防治效果,提高患者自我保健的能力。[方法]选取2006年盐城市6个社区5997人在体检中被确诊的347例糖尿病患者作为干预对象,采取针对社区全体居民开展健康教育,对患者进行强化干预的措施,6月后总结干预效果。[结果]通过干预,糖尿病患者对糖尿病相关知识掌握程度干预前后差异有统计学意义(χ2=132.69,P﹤0.001);对血糖水平的影响干预前后差异有统计学意义(χ2=118.50,P﹤0.001);对行为的影响干预前后差异有统计学意义。[结论]规范的分类管理和社区健康教育可以显著控制糖尿病患者的血糖,提高糖尿病患者对糖尿病相关知识的知晓率,改善不健康行为生活方式。以社区为基础的糖尿病综合干预是切实可行和行之有效的。
[Objective] To explore the integrated prevention and treatment of community-based diabetes patients and improve their self-care ability. [Methods] A total of 347 diabetic patients diagnosed in physical examination in 5997 people in 6 communities in Yancheng City in 2006 were selected as interventions. Health education was carried out for all residents in the community, and the patients were intensively intervened. After 6 months, the intervention effects were summarized . [Results] There was significant difference between before and after intervention in knowledge of diabetes-related knowledge (χ2 = 132.69, P <0.001). There was significant difference in blood glucose level before and after intervention (χ2 = 118.50, P < 0.001); the impact on behavior before and after the intervention was statistically significant. [Conclusion] The standardized classification management and community health education can significantly control the blood sugar of diabetic patients, improve the awareness of diabetes related knowledge and improve the unhealthy lifestyles. Community-based comprehensive diabetes intervention is feasible and effective.