社区慢性病干预措施对糖尿病患者疗效观察

Efficacy of community-based chronic disease intervention for management of patients with diabetes mellitus

目的：探讨社区慢病管理治疗在糖尿病治疗和护理中的作用。方法选取2013年4~6月我社区分管的确诊为2型糖尿病患者,共计300例。将上述患者随机分为管理组和对照组,每组患者150例。医护人员给予对照组患者常规社区慢病治疗管理,管理组以此为基础,建立糖尿病社区学习小组,以社区、家庭或自成立小组为单位对相关健康知识进行学习,医护人员对患者实行优质护理方案,定期检测其血糖变化情况。结果管理组患者的糖尿病认知程度、服药依从性、生活方式改善、血糖达标率均优于对照组患者,P 〈0.01。结论社区慢病管理治疗是一种有效治疗和管理2型糖尿病患者的护理方案,加深2型糖尿病患者对于该类疾病的认识,从心理上改善患者的治疗积极性,为患者病情治疗和恢复创造有利条件,值得临床广泛推广和深入研究。

Objective To investigate the efficacy of community- based chronic disease intervention for nursing care and treatment of diabetes mellitus. Methods Three hundred patients proven with type 2 diabe-tes cared at our community were recruited between April and June 2013.Then the patients were grouped ran-domly into a management group and a control group,150 cases in each group.The control group received con-ventional community treatment of chronic disease management,the management group founded diabetes com-munity learning groups,members from the community,from the family,or from the self-establishment team studied the relevant knowledge of health.The medical staff offered high-quality care program for patients and regularly monitored their blood glucose changes. Results Patients of the management group had better dia-betes awareness,medication adherence,lifestyle changes,standard blood sugar rates and other aspects than patients of the control group,P 〈0.01. Conclusion Community chronic disease treatment is an effective care program for management of type 2 diabetes.It can effectively improve the patients understanding of this kind disease,improve the active treatment psychology,create favorable conditions for the patient＇s treatment and recovery,and is worthy of practice recommendation and in-depth research.