对社区慢性病患者实施行为和认知干预的疗效观察

Efficacy of Behavioral and Cognitive Intervention on the Implementation of the Community of Chronic Patients

目的分析并评价对社区慢性病患者实施行为及认知干预的效果。方法将我院收治本社区74例患者随机分成观察组与对照组各36例,对照组患者按所患疾病给予常规降糖、降压及调脂治疗,同时控制饮食、适度运动;观察组在上述治疗基础上对患者实施行为与认知干预。结果经治疗并实施干预后,观察组患者的血压、LDL-C及HbA1c的复查率与达标率、按时复诊率,高血压与高血脂患者遵医嘱服药率均优于对照组,两组比较差异显著(P<0.05或P<0.01),均具有统计学意义。两组糖尿病患者遵医嘱服药率比较未见明显差异(P>0.05),无统计学意义。结论对社区的糖尿病、高血压以及血脂异常患者在实施常规药物治疗的情况下给予行为认知干预的具有理想的疗效。

Objective To analyze and evaluate the effect of behavioral and cognitive intervention on the implementation of the CommUnity of chronic patients. Methods In our hospital, 74 patients in the community were randomly divided into observation group and control group 36 cases, the control group of patients suffering from the disease treated with conventional antidiabetic, antihypertensive and lipid lowering therapy, while Controlling diet, moderate exercise; observation group patients in the treatment on the basis of behavioral and cognitive intervention. Results After treatment and after the intervention, the Observer Group of the patient＇s blood pressure, LDL-C and HbAlc review rate and standard rate of time and referral rate, hypertension and high cholesterol patients prescribed medication rate than the control group, the two groups significant difference （P〈0.05 or P〈0.01） were statistically significant. The two groups of diabetic patients prescribed medication was no significant difference （P〉0.05）, not statistically significant. Conclusion The community of diabetes, hypertension and dyslipidemia patients given cognitive-behavioral intervention has the desired effect in the case of implementation of the conventional drug treatment.