糖尿病患者的社区干预

Community intervention on patients with diabetes mellitus

目的:探讨2型糖尿病患者在社区进行管理干预的模式。评价改变生活方式对2型糖尿病防治的影响。方法:选取某高校社区261例2型糖尿病患者进行1年的干预。结果:接受生活方式干预并坚持完成项目169例,未改变或变更差81例,余11例患者未完成项目。在病情稳定,药物治疗方案不变的前提下,生活方式改变组的空腹血糖下降程度明显高于未改变或更差组。结论:在社区,通过制定具体的生活方式干预措施,能有效地控制2型糖尿病患者的血糖水平,且有实际操作性,可行性,对健康促进有极大的意义。

Objective:To explore the mode of management and intervention on patients with type 2 diabetes mellitus;to evaluate the effect of changing the way of life on the prevention and treatment of type 2 diabetes mellitus.Methods:261 patients with type 2 diabetes in a university community were selected,and they were given community intervention for 1 year.Results: 169 cases accepted lifestyle intervention and stick to the completion of the project.81 cases had no change on lifestyle or even change worse;11 cases did not complete the project.Under the condition of stable disease,and no changing on life style,the fasting blood glucose of the patients in the lifestyle changing group were significantly higher than that of the patients without change or worse.Conclusion:In the community,the blood glucose level in patients with type 2 diabetes can be controlled effectively through the development of specific life style intervention measures,and have practical operation and feasibility.It has great significance on health promotion.