社区干预对2型糖尿病患者影响的临床研究

Clinical Study on the Effect of Community Intervention on Patients with Type 2 Diabetes

目的:探讨社区干预对2型糖尿病患者的临床影响。方法:选取某市2015年6月~2016年1月期间5个社区的卫生服务中心体检筛查的80例2型糖尿病患者为研究对象,随机将患者分为观察组和对照组,每组40例,对照组给予常规降血糖药物治疗,观察组在对照组基础上进行周期为6个月的社区干预。检测两组干预前、后血糖及HbA1c水平,比较两组干预后血糖控制率,并评估两组患者糖尿病知识掌握情况与生活质量水平。结果:两组干预前FPG、2hPG、HbA1c水平比较无统计学意义(P>0.05);干预后观察组FPG(5.36±1.04)mmol/L、2hPG(8.32±1.41)mmol/L、HbA1c(6.24±1.79)%均显著低于对照组(P<0.01);观察组血糖控制率57.50%明显高于对照组35.00%(P<0.05);两组干预前糖尿病知识掌握情况评分、DSQL评分比较无统计学意义(P>0.05),干预后观察组糖尿病知识掌握情况评分(65.60±3.79)分、DSQL评分(114.03±10.67)显著高于对照组(P<0.01)。结论:对2型糖尿病患者采取社区干预,可较好的控制患者血糖,改善患者对糖尿病的认知,并一定程度改善患者的生活方式,促进生活质量的提高。

Objective： To investigate the clinical effect of community intervention on type 2diabetes mellitus patients. Methods： From June 2015 to January 2016,80 cases with type 2 diabetes were selected from 5 communities health service centers as the research object,who were randomly divided into observation group and control group, with 40 cases in each group. The control group was given conventional hypoglycemic drug treatment, on the basis of the control group, the observation group were intervened for 6 months. The blood glucose and HbAlc levels were measured before and after intervention in the two groups, and the blood glu- cose control rate was compared between the two groups, and the knowledge of diabetes and the quality of life of the patients in the two groups were evaluated. Results： Before the intervention, FPG, 2hPG, HbA1c level of the two groups was not significant （P〉0.05） ; after the intervention, FPG （5.36±1.04） mmol/L, 2hPG （8.32±1.41） mmol/L, HbAlc （6.24±1.79）% of the observation group was significantly lower than those of the control group （P〈0.01） ; blood glucose control the rate of 57.50%of the observation group was significantly higher than that of the control group 35% （P〈0.05） , before intervention, diabetes knowledge score and DSQL score of the two groups was not statistically significant （P〉0.05） ; after the intervention, diabetes knowledge score （65.60±3.79）, DSQL score （114.03±10.67） of the observation group was significantly higher than that of the control group （P〈0.01）. Conclusion： Community intervention for patients with type 2 diabetes can better control the blood glucose of patients, improve the awareness of patients with diabetes, and to a certain extent, improve the way of life, improve the quality of life.