基于治未病理论的“112干预模式”对社区糖尿病患者血脂干预效果分析

Analysis of Effect of “112 Intervention Model” Based on “Preventive Treatment of Disease” Theory on Blood Lipid of Community Patients with Diabetes Mellitus

目的 :观察"112干预模式"(一系列基础健康讲座,一个健康行为信念,两种健康行为促成措施)对社区2型糖尿病患者血脂干预的效果。方法:选取就诊于山东中医药大学第二附属医院泺源社区门诊的2型糖尿病患者100例,按随机数字表法分为干预组和对照组,干预组以"112干预模式"进行干预,对照组采用社区常规治疗。分别观察两组患者干预前、干预6个月、干预12个月及干预18个月的血脂水平。结果:干预组在干预18个月时低密度脂蛋白、胆固醇、三酰甘油水平较干预前改善,差异有统计学意义(P<0.05);与对照组比较,差异亦有统计学意义(P<0.05)。结论:"112干预模式"对社区糖尿病患者的血脂水平有较为明显的改善作用。

Objective：To observe the effect of ＂112 intervention model＂（a series of basic health lecture,a faith of healthy behavior,two measures for promoting healthy behavior） on blood lipid of community patients with type 2 diabetes mellitus. Methods：A total of 100 patients with type 2 diabetes mellitus visiting Luoyuan community clinics of the second affiliated hospital of Shandong university of traditional Chinese medicine were selected as the study objects. They were divided into the intervention group and the control group. The intervention group was intervened by the ＂112 intervention model＂ and the control group was given commu- nity conventional treatments. The blood lipid level of the two groups were observed before intervention,6 months after intervention,12 months after intervention and 18 months after intervention,respectively. Results： Eighteen months after intervention, compared with those before intervention,the levels of low density lipopro- tein ,cholesterol and triacylglycerol of the intervention group were improved,and the differences were statisti- cally significant（P〈0.05）. Compared with the control group,the differences were also statistically significant （P〈0.05）. Conclusion：The ＂112 intervention model＂ can significantly improve the blood lipid level of pa- tients with diabetes mellitus in community.