糖尿病前期人群社区健康促进效果评价及模式探讨

Study on therapeutic effect evaluation and mode investigation of community health promotion in prediabetic subjects

目的评价社区健康促进在糖尿病前期患者管理中的干预效果,同时对糖尿病前期人群健康促进模式进行探讨。方法将121例糖尿病前期患者随机分为干预组和对照组,干预组进行为期2年的健康促进干预,对两组患者干预前后行为指标和生化指标进行评价。结果干预组糖尿病知识知晓率、经常锻炼率、血压控制率均有明显提高,差异有统计学意义。干预后糖尿病前期人群的餐后2 h血糖下降,干预组糖尿病年转化率较对照组有下降,差异均有统计学意义,空腹血糖、体质量指数、腰围、糖化血红蛋白指标比较差异无统计学意义。结论全科团队式社区健康促进干预患者依从性较好,可以改变社区糖尿病前期患者的认知和行为,使糖尿病前期人群的餐后2 h血糖下降、糖尿病年转化率下降。

Objective To evaluate the intervention effect of community health promotion and investigate its mode in prediabetic subjects.Methods One hundred and twenty-one prediabetic participants were randomly divided into intervention group and control group.Subjects in intervention group received two-year period of health promotion.Behavioral and biochemical indexes were assessed before and after the intervention therapy in the two groups.Results There were elevated rates of diabetic knowledge awareness,regular physical exercise,and blood pressure control in intervention group compared with control group.Both 2 hours postprandial blood glucose and annual progression rate in subjects with prediabetic stage to diabetes were lower in intervention group.There were no significant differences in fasting glucose,body mass index（BMI）,waist circumference,and glycosylated hemoglobin A1c（HbA1c） between the two groups.Conclusion Community health promotion for general practice team showed good compliance in patients.It changed the patient＇s diabetic knowledge awareness and behaviors.Furthermore,both 2 hours postprandial blood glucose level and annual diabetes progression rate decreased.