糖尿病60例社区健康管理临床分析

Clinical analysis on health management of 60 patients with diabetes in community

目的分析60例糖尿病社区健康管理的临床效果。方法收集2005年7月至2009年12月在某社区医院就诊糖尿病患者60例。年龄32～62岁,平均52.8岁。60例糖尿病患者分为两组,每组30例。一组为健康管理组,一组为普通组。健康管理组除了实施一般糖尿病治疗外,还要实施糖尿病的社区健康管理工作,而普通组就只进行一般糖尿病治疗。3个月后对两组管理效果进行评价。结果健康管理组效果极为良好,患者空腹血糖、餐后2h血糖、糖化血红蛋白均较普通组改善明显,两组比较差异具有显著性(P<0.05或P<0.01)。结论社区健康管理能有效提高糖尿病患者的认知,重塑健康的生活方式,提高生活质量。

Objective To explore the clinical analysis on health management of 60 patients with diabetes in community.Methods The data of health management in 60 patients with diabetes in a community hospital during July 2005 to December 2009 had been studied and analyzed.All 60 patients of diabetes in the age range of 32 to 62 with a mean of 52.8 years old were divided into 2 groups：health management group （30 cases） and control group （30 cases）.There was no statistical difference in general data of patients between these two groups.Besides the routine treatment for diabetes in patients of health management group,they additionally received health management for diabetes,and patients of control group only received routine treatment.The two groups after 3 months to evaluate the effect of management.Results The health effects of extremely good management team,fasting blood glucose,postprandial 2 h blood glucose,glycosylated hemoglobin improved significantly compared with normal group,the difference was significant（P0.05orP0.01）.Conclusion Health management to patients with DM can improve their behavior and make them have better lives.