“患者家庭社区”健康促进模式在社区糖调节受损患者中的应用

Application of “patient-family-community”health promotion mode in patients with impaired glucose regulation

目的：探讨“患者家庭社区”健康促进模式在社区糖调节受损（IGR）患者中的应用效果。方法运用 SPSS 软件“随机个案样本”功能，从浦东新区祝桥镇所有的村随机选出研究村和对照村各1个。两村共筛选出符合研究要求的 IGR 患者75例，按所在的村分为研究组39例和对照组36例。于2014年3—8月，对研究组 IGR 患者应用“患者家庭社区”健康促进模式实施健康干预，对照组采用常规健康指导。比较两组患者的糖尿病相关知信行（KAP 问卷）、家庭功能（APGAR 问卷）和血糖情况。结果干预前两组患者各项指标相比差异均无统计学意义（P ＞0．05）。干预后研究组患者 KAP 问卷的知识（K）、态度（A）和行为（P）得分分别为（8．85±1．31），（8．87±1．77）和（6．92±2．67）分，均高于对照组的（5．86±2．37），（6．78±2．92）和（3．89±3．02）分，差异有统计学意义（Z 值分别为－5．189，－3．299，－4．042；P ＜0．05）。干预后研究组患者的 APGAR 问卷得分为（7．56±1．90）分，高于对照组的（6．47±1．77）分，差异有统计学意义（t ＝2．571，P ＜0．05）。干预后研究组患者的空腹血糖、餐后血糖和糖化血红蛋白均低于对照组，差异有统计学意义（P ＜0．05）。结论应用“患者家庭社区”健康促进模式有利于提高 IGR 患者的相关知信行、家庭功能，有利于更好地控制血糖，预防糖尿病。

Objective To investigate the effects of “patient-family-community”health promotion mode on patients with impaired glucose regulation（IGR）.Methods Using the function of random case samples in SPSS,we randomly chose an experimental village and a control village respectively from all villages in Zhuqiao of Pudong New Area.Altogether 75 IGR patients who met the requirement were filtered in the two villages. According to the villages they belonging to,39 of them were divided into experimental group and 36 to control group.From March 201 4 to August 201 4, subjects in the experimental group were intervened by“patient-family-community”health promotion mode,while participants in the control group used the regular health guidance.We compared the test score of knowledge-attitude-practice （KAP） questionnaire,family APGAR questionnaire and blood glucose between two groups.Results Relevant indexes of the two groups before intervention showed no difference （P 〉0.05）.After intervention,the knowledge（K）,attitude（A）and practice （P）test scores of the experimental group were （8.85 ±1 .31 ）,（8.87 ±1 .77）and （6.92 ±2.67）,higher than （5.86 ±2.37）,（6.78 ±2.92）and （3.89 ±3.02）of the control group（Z =-5.1 89,-3.299,-4.042;P 〈0.05）.The APGAR test scores of the experimental group（7.56 ±1 .90）was higher than（6.47 ±1 .77）of the control group（t =2.571 ,P 〈0.05）.The FPG,2hPG and HbA1 c of the experimental group were （5.86 ± 0.50）mmol/L,（8.02 ±0.72）mmol/L and（5.73 ±0.42）%,which were lower than （6.1 1 ±0.45）mmol/L, （8.60 ±0.97）mmol/L and（5.97 ±0.53）% of the control group （t =-2.293,-2.383,-2.1 70;P 〈0.05）.Conclusions Applying “patient-family-community”health promotion mode can improve the KAP,＆amp;nbsp;family function of IGR patients,control their blood glucose better and prevent diabetes.