社区医疗机构干预对老年人2型糖尿病生活质量及预后影响的调查研究

目的探讨社区医疗卫生服务中心对于所在社区老年2型糖尿病患者,采取积极有效地宣传、提供咨询等干预手段,使此类人群了解糖尿病的发病机制、并发症、危害、治疗手段等方面,以分析通过面向社区采取有效的干预是否能够改善此类患者的生活质量及改善预后。方法选取我院下属的十家社区卫生服务中心2007年1月至2009年1月接诊的200例2型糖尿病的老年患者,采取药物治疗、心理治疗、饮食治疗及运动疗法等综合疗法,随访1年,比较治疗前后患者的血糖情况及自我认知情况。结果本组患者治疗前后空腹血糖、餐后2 h血糖、疾病认知水平及自我管理水平均有显著差异(P<0.05),具有统计学意义。结论通过科学合理、规范有序的综合治疗可以提高老年2型糖尿病患者的治疗效果,改善患者的生活质量,提高认知率和自我管理水平。

Objective To investigate the community medical service centers for the communities in elderly type 2 diabetic patients, to take active and effective advocacy, counseling and other interventions,so that these people understand the pathogenesis of diabetes,complications, hazards, treatment,etc.,to analyze through Community-oriented interventions are effective to improve the quality of life of these patients and improve outcomes.Methods Community Hospital in January 2007 - January 2009 treated200patients with type 2 diabetes in elderly patients taking drug therapy,psychotherapy,diet therapy and exercise therapy such as combination therapy,were followed up 1 year,compared before and after treatment The blood glucose and self-cognition.Results The patients in this group before and after the fasting blood glucose,2h postprandial blood glucose, the level of disease knowledge and self-management were significantly different （P〈0.05）,with statistical significance.Conclusion The scientific and rational,orderly comprehensive treatment of elderly type 2 diabetes can improve patient outcomes and improve the quality of life of patients and improve the recognition rate and self-management.