实施社区糖尿病俱乐部方式的综合干预效果评价

Evaluation on Effect of Comprehensive Intervention by Establishing Diabetic Clubs

目的评价建立社区糖尿病俱乐部实施患者综合干预后的效果。方法随机抽取桐君街道社区有城镇职工医疗保险、初中以上文化程度的常住糖尿病患者172例,分为干预组和对照组,干预组加入桐君街道糖尿病俱乐部,进行有计划的社区综合干预;对照组只进行常规的社区卫生服务管理。1年后对两组干预效果进行评价。结果 1年后干预组的血糖控制率为80.90%、规范化管理率为87.64%,糖化血红蛋白、空腹血糖、餐后2 h血糖、总胆固醇、甘油三酯均比对照组低,高密度脂蛋白较对照组高,差异有统计学意义。结论通过以糖尿病俱乐部活动为形式的社区综合干预可以充分调动患者的主观能动性,提高患者的自我保健意识,有效地控制血糖、血脂,改善糖尿病患者的生活质量。

Objective To evaluate the effect of community - based intervention through establishing clubs for diabetics. Method 172 resident with diabetics that had medical insurance for urban worker and received middle school or higher education from Tongjun community were randomly selected and divided into intervention group and control group. The diabetic people in intervention group received the club comprehensive intervention; while the control group only received the regular community health service management. The interval of this intervention was one year. Results After intervention, the rate of the blood glucose level under control was 81.33% in the intervention group, and the rate in the regular management was 87.64%. HbAlc, FBS ,2 - hour postprandial blood glucose, TC, TG in the intervention group were all lower than that in the control group, and HDL in the intervention group was higher than that in control, these differences were statistically significant. Conclusion Attending the diabetes clubs could effectively mobilize the initiative of patients, improve their self - care awareness and control their blood glucose as well as blood lipids levels. Subsequently, the life quality of diabetics will be improved.