上海某社区糖尿病俱乐部效果评价

Effects Evaluation of the Diabetes Club in Changjiang Road Community

目的通过糖尿病俱乐部的社区管理模式,对糖尿病患者进行健康促进及行为干预,提高糖尿病患者对糖尿病防治知识的认知和自我管理能力,为开展社区糖尿病防治提供依据。方法采用整群抽样的方法,确定干预组与对照组。在干预组建立糖尿病俱乐部和医务人员户籍制管理,在干预前后分别进行一次调查与体检。结果干预组糖尿病人的相关知识知晓率有明显提高(P<0.05)。参加锻炼的明显增多(P<0.05)、腰臀围比及血压超标比例下降(P<0.05)、空腹血糖、糖化血红蛋白的平均值略有下降。结论糖尿病俱乐部的社区管理模式能提高病人的自我管理能力,改变不良生活方式,改善病情发展,在社区推广具有积极意义。

Objective Through the club's community management model of diabetes,health promotion and behavior intervention were carried out among diabetic patients to improve their knowledge of diabetes prevention and treatment and self-management capabilities,in order to provide the basis for community diabetes prevention and treatment.Methods Cluster sampling was conducted in Changjiang Road Community to determine the intervention group and control group.In the intervention group,the diabetes club was established as well as the household registration system for medical staff management.A survey and physical examination were carried out before and after intervention.Results Diabetes-related knowledge rate increased significantly in the intervention group(P<0.05).In this group,subjects doing physical exercise increased significantly(P<0.05).Their waist-hip ratio and the proportion of exceeding blood pressure standard declined(P<0.05).The average value of fasting glucose and Glycated Hemoglobin declined slightly.Conclusion The community management of Diabetes Clubs can improve patients’ self-management ability to change their unhealthy lifestyles.It is of positive significance in generalizing in other communities.