2型糖尿病社区综合干预效果评价

Evaluation on the effectiveness of the community comprehensive intervention of type 2 diabetes

目的:评价2型糖尿病社区综合干预的效果。方法:在新街口社区卫生服务中心辖区内抽取2型糖尿病100例,随机分为两组,并对干预组实施包括健康知识讲座、同伴教育及知己健康管理等综合社区干预措施6个月。结果:干预组对糖尿病知识较干预前有了显著提升,各项生化指标均发生正向变化,且与基线的检查值存在统计学差异。干预组与对照组比较,血糖、血脂、体重等指标均发生较大变化,且差异存在统计学意义。结论:基于健康教育及行为指导的社区综合干预措施能够帮助患者提升自身对疾病的认知,改善自身行为习惯并有效地保持,是值得推广的糖尿病管理模式。

Objective：The study aimed at exploring and establishing a new way of community administration on type 2 diabetes through a comprehensive community intervention including all kinds of health education among patients with type 2 diabetes.This community-based intervention will help diabetic patients develop healthy life style and behavior in order to prevent wide spreading of diabetes mellitus.Methods：100 Patients with type 2 diabetes mellitus in Xinjiekou community in Beijing were recruited and were divided into intervention group and control group.The intervention patients were taken a series of interventions such as healthy lectures,peer education and health awareness.All the patients fill up the questionnaire before and after 6 months′ study.In addition,the body weight,serum lipids,blood glucose and glycolated hemoglobin were assayed among subjects.Data for all experiments were analyzed using the SPSS 13.0 software program.Measurement data comparisons between groups were performed using paired t-test while enumeration data were performed using chi-square test.Results：Intervention and control subjects were complications and sex matched（P0.05） and all the laboratory indexes were similar before the study except age.After six months intervention,fasting plasma glucose,post 2 hours blood glucose,HbA1c,blood urea nitrogen,creatinine,total cholesterol,triglyceride,low-density lipoprotein,high-density lipoprotein and body mass index were changed significantly compared with that before study（P0.05）,while these indexes in control subjects were changed statistically too.However,the changes during intervention group were more significant than controls（P0.05）.Through the questionnaire,we found that intervention subjects were aware of the harmful effects of diabetes and avoided unhealthy life styles.Control patients also have some changes such as weight lowering and monitoring blood glucose.Conclusion：Our study demonstrated that the community-based interventions including all kinds of healthy education were effective to improve type 2 diabetes mellitus administration.The new pathway of community administration in chronic diseases help patients not only increase awareness of the disease and develop healthy life styles,but also improve blood glucose or lipid control and prevent the deterioration of the disease.