社区卫生服务中心2型糖尿病防治模式与实施办法探讨

Discussion on the mode of prevention and control of type 2 diabetes in community health service center and its implementation

目的探讨社区卫生服务中心2型糖尿病防治模式及其实施效果。方法 90例2型糖尿病患者,依据干预方法不同分为观察组和对照组,每组45例。对照组仅给予常规干预,观察组在对照组基础上采用社区综合防治模式进行干预。比较两组患者干预前后的血糖[空腹血糖(FPG)、餐后2 h血糖(2 h PG)和糖化血红蛋白(HbA1c)]控制效果和依从性。结果干预前,对照组的FPG、2 h PG、HbA1c水平分别为(7.72±1.90)mmol/L、(9.64±1.58)mmol/L、(6.81±0.92)%,观察组分别为(7.60±1.92)mmol/L、(9.65±1.54)mmol/L、(6.89±0.90)%;干预后,对照组的FPG、2 h PG、HbA1c水平分别为(7.49±1.87)mmol/L、(9.27±1.55)mmol/L、(6.77±0.94)%,观察组分别为(6.21±0.79)mmol/L、(8.12±1.53)mmol/L、(6.05±0.88)%。干预后,观察组患者的FPG、2 h PG、HbA1c水平均低于干预前和对照组,差异具有统计学意义(P<0.05)。对照组患者干预前后的FPG、2 h PG、HbA1c水平比较差异无统计学意义(P>0.05)。干预后,观察组患者遵医嘱用药、饮食控制、规律运动、定期监测血糖的依从性明显优于本组干预前和对照组干预后,差异具有统计学意义(P<0.05)。结论采用社区综合防治模式对2型糖尿病患者进行干预能改善其血糖控制情况,提高依从性。

Objective To discuss the mode of prevention and control of type 2 diabetes in community health service center and its implementation. Methods A total of 90 type 2 diabetes patients were divided by different intervention methods into observation group and control group, with 45 cases in each group. The control group received conventional intervention, and the observation group received model of community comprehensive prevention and control on the basis of the control group. Comparison were made on control effect of blood glucose [fasting blood glucose（FPG）, postprandial 2 h blood glucose（2 h PG） and glycated hemoglobin（HbA1c）] before and after intervention and compliance between the two groups. Results Before intervention, the control group had FPG, 2 h PG and HbA1c level respectively as（7.72±1.90） mmol/L,（9.64±1.58） mmol/L and（6.81±0.92）%, which were（7.60±1.92） mmol/L,（9.65±1.54） mmol/L and（6.89±0.90）% in the observation group. After intervention, the control group had FPG, 2 h PG and HbA1c level respectively as（7.49± 1.87） mmol/L,（9.27±1.55） mmol/L and（6.77±0.94）%, which were（6.21±0.79） mmol/L,（8.12±1.53） mmol/L and（6.05±0.88）% in the observation group. After intervention, the observation group had lower FPG, 2 h PG and HbA1c level than before intervention and control group, and their difference was statistically significant（P〈0.05）. The control group had no statistically significant difference in FPG, 2 h PG and HbA1c level before and after intervention（P〈0.05）. After intervention, the observation group had obviously better treatment compliance of prescribed medication according to doctor＇s advice, diet control, regular exercise, regular monitoring of blood sugar than before intervention and after intervention of the control group, and their difference was statistically significant（P〈0.05）. Conclusion Application of community comprehensive prevention and control mode for intervention of type 2 diabetes patients can improve their blood glucose control situation and improve the treatment compliance.