社区糖尿病患者个性化健康管理的效果评价

The effect of individualized health management on community-residing diabetes patients

目的提高社区糖尿病患者健康管理能力,有效控制血糖水平。方法便利选取社区糖尿病患者120例,将患者随机分为对照组和观察组各60例,对照组按照常规进行健康管理,观察组在常规健康管理基础上,利用知己生活方式疾病综合防治健康管理系统、家庭保健员培训、糖尿病同伴支持小组活动共同实施个性化健康管理。结果实施管理后,两组空腹血糖、餐后2h血糖、糖化血红蛋白均处于达标水平,两组达标率比较,差异无统计学意义(均P>0.05);观察组膳食结构合理率、运动充分率显著高于对照组(均P<0.01)。观察组空腹血糖、餐后2h血糖、糖化血红蛋白显著低于对照组(P<0.05,P<0.01)。结论对社区糖尿病患者实施个性化健康管理,可改进患者健康行为,有利于血糖水平的控制。

Objective To improve health management ability of diabetic patients living in communities and to effectively control their blood glucose levels.Methods A total of 120 diabetes patients living in communities were randomly and evenly divided into a control group,who received routine health management,and an observation group,who were additionally subjected to individualized health management,in which a confidant health management platform was used,and family health workers were trained,and peer support and peer-based group activities were conducted.Results After management,the results of fasting plasma glucose,2-hour postprandial glucose,and glycosylated hemoglobin were within normal ranges in the 2 groups;there were no significant differences in normal rates between the two groups（P〉0.05 for all）.The percentages of patients having agreeable dietary structure,and following a full exercise scheme,were significantly higher in the observation group than in the control group（P〈0.01 for both）.The levels of fasting plasma glucose,2-hour postprandial glucose,and glycosylated hemoglobin in the observation group were significantly lower than in the control group（P〈0.05,P〈0.01）.Conclusion Implementation of individualized health management can improve health related behaviors of diabetes patients,and be conducive to the control of blood glucose.