中年人糖尿病社区综合干预的效果评价及影响因素

目的 探讨社区综合干预对中年人糖尿病患者的效果及影响因素,以不断改进防治措施,提高防治效果.方法 对在社区卫生服务中心确诊的80例糖尿病患者分为中年组和老年组,进行为期一年的社区综合干预,包括健康教育、药物治疗、行为干预和定期随访,并且于干预前后对患者进行问卷调查和医学体检,比较不同年龄组的干预效果并找出前5位影响因素.结果 干预效果老年组明显好于中年组（p＜0.05）,影响中年组干预效果的主要原因是：①应酬多无法坚持科学饮食；②生活无规律无时间锻炼；③不健康的人生价值观；④忘记吃药；⑤无不适症状自行停药.结论 常规干预对中年组糖尿病患者效果较差,应针对个人的不同职业、习惯提供个性化干预措施.

Objective To investigate effects and influential factors of community combination intervention in middle-aged diabetes patients. In order to ameliorate methods and improve effects of prevention and cure. Methods 80 diabetes patients who were diagnosed diabetes in community health service center were divided into old-aged group and middle-aged group, and were intervened including health education, medication, behavior intervention and follow up regularly. The patients were investigated by questionnaire and checked medically before intervention and after intervention, compared the effects of intervention in two group, and found the five major influential factors. Results The effects of old- aged group is better than the middle-aged group （p〈0.05）. The major influential factors of middle-aged group were not propriety foods and drink because of more social intercourse, not regular life, no time to exercise, bad values of life, forget^g to take medicine, and stopping to take medicine by self because of no discomfort symptom.Conclusion The routine intervention was not good to middle-aged group, so should give individual intervention by different occupation and different habits.