健康管理对2型糖尿病危险因素干预的效果分析

Health Management Analysis of the Effects of Type 2 Diabetes Risk Factors Intervention

目的分析2013年和2015年开展两次国家慢性病及其危险因素调查结果,探讨健康管理对2型糖尿病危险因素干预的效果。方法采用多阶段分层整群抽样的方法,确定调查对象后进行面对面访谈和集中现场调查,分析健康管理对2型糖尿病危险因素干预的效果。结果 2015年本地区居民饮酒暴露率、超重(肥胖)率较2013年显著下降,而主动参加体检率、血糖知晓率较2013年显著提高(P<0.05),而静态生活方式暴露率较2013年升高,体检指标的体重、腰围较2013年明显下降(P<0.05),空腹血糖、75 g葡萄糖2 h血糖、血脂和血压等指标与2013年比较均无显著性差异(P>0.05)。结论经过两年的健康管理,本地区居民主动参加体检率、血糖知晓率均有较大提高,体重控制良好,有效地降低了2型糖尿病危险因素的风险,但今后本地区仍需继续加强对糖尿病患者的规范化健康管理。

OBJECTIVE Analysis in 2013 and 2015 in two national survey results chronic disease and its risk factors, to explore risk factors for type 2 diabetes health management intervention effect. METHODS Using multi-stage stratified cluster sampling method, de- termine the face-to-face interviews and focus on the site survey after survey, analysis of health management of type 2 diabetes risk factors intervention effect. RESULTS In 2015, the region＇s residents alcohol exposure rate and the rate of overweight （obesity） had sig- nificant decline in 2013, and actively participate in physical examination rate and blood glucose awareness from 2013 increased signif- icantly （P〈0.05）, while the static lifestyle exposure rate was higher than in 2013, a medical indicators of body weight, waist circumfer- ence is decreased obviously 2013 while（P〈0.05）, fasting blood sugar and 75 g glucose 2 h indexes of blood sugar, blood fat and blood pressure compared with 2013, there was no significant difference （P〉0.05）. CONCLUSION After 2 years of health management, the re- gion＇s residents voluntarily participate in physical examination rate, blood glucose awareness was improved greatly, weight control was good, effectively reduce the risks for type 2 diabetes, but in this area still needed to continue to strengthen the standardization of diabetes health management.