社区干预对2型糖尿病的疗效分析

Effect of Community Intervention on Type Ⅱ Diabetes Mellitus

目的分析社区干预对2型糖尿病患者疗效的影响。为社区慢性病干预提供建议。方法对大市口街道社区的300例2型糖尿病患者实施为期2年的综合干预,包括:建立档案,健康教育、膳食指导、用药指导、运动及心理指导、定期随访监测,对比分析社区干预前后患者的血糖控制情况。结果 2型糖尿病患者社区干预2年后,空腹及餐后2 h血糖、血压等各项指标达标率均有明显上升。干预前、后相关知识的知晓率,参与合理运动的人数均有显著提高。结论社区干预对糖尿病患者有较好的控制效果,普及了相关知识,延缓了糖尿病并发症的发生,提高了患者的生活质量,且成本低廉。社区卫生服务中心(站)应该开展积极、有效的干预。

Objective To analyze the community intervention in patients with type Ⅱ diabetes therapeutic effect. Chronic disease interventions for the community to make suggestions. Methods The large city of neighborhoods and communities of the 300 cases of mouth type Ⅱ diabetes to implement a two-year comprehensive intervention, including： the establishment of archives, health education, dietary guidance, medication guide, exercise, and psychological guidance, regular follow-up monitoring, comparative analysis of community before and after intervention in patients with blood glucose control the situation. Results Ⅱ diabetes community intervention 2 years later, 2H fasting and postprandial blood glucose, blood pressure,and other indicators of compliance rates have increased significantly. Intervention before and after the relevant knowledge,awareness, participation in a reasonable number of movements were significantly increased. Conclusion The community intervention on patients with diabetes have better control effect, popularize relevant knowledge, the occurrence of delayed complications of diabetes and improve the quality of life of patients, and low cost. Community health service centers（stations） should be carried out active and effective intervention.