对糖耐量低减病人社区医院模式下的护理干预研究

Study on nursing intervention of patients with impaired glucose tolerance under the model of community hospital

目的提高健康教育的实效性，使糖尿病前期的社区病人避免危险因素，预防糖尿病的发生。方法在医院所属社区医院，对糖尿病前期及高危人群进行健康教育及生活方式的干预。结果干预后体重指数、空腹血糖、餐后2hm糖与干预前比较明显下降（P〈0．01）；收缩压、舒张压、甘油三脂也有所降低（P〈0．05）。干预后糖尿病知识知晓率有明显增加。结论健康教育及对糖尿病前期生活方式的干预切实可行，延缓了糖尿病的发生。实施健康教育和生活方式的干预对IGT病人发展成糖尿病有决定性的作用。

Objective To enhance the efficiency of health education, to avoid the risk factors of community patients with pre-diabetes, and to prevent the occurrence of diabetes. Methods Health education and lifestyle intervention were applied in pre-diabetes and high-risk groups at subordinate community hospitals. Results After the intervention, the body mass index, fasting blood glucose, blood glucose 2 h after meals obviously decreased compared to those before the intervention （ P 〈 0. 01 ）. The diastolic blood pressure, systolic blood pressure and triglyceride also had some decrease （ P 〈 0. 05 ）. The knowledge rate of diabetes after the intervention had an obvious increase. Conclusions Health education and lifestyle intervention of prediabetes are practicable, and delay the development of diabetes. Health education and lifestyle intervention have crucial effects on the procedure of IGT developing to diabetes.